Interpretation of Chinese Society of Endocrinology consensus statement on hyperglycemia management target in adult inpatients in China.

Abstract

Abstract:

Abstract：Hyperglycemia of inpatients will increase the incidence of complications，mortality and medical cost，meanwhile prolong the hospitalized course.A consensus on hyperglycemia management target in adult inpatients is proposed by experts of Chinese Society of Endocrinology in order to control hyperglycemia of inpatients safely and effectively.Individualization is emphasized in this consensus.Different stratified glycemic targets should be established according to different patients and conditions.Target blood glucose control is unnecessary for the patients with diabetes during hospital stay.Glycemic decrease should generally not be quick.Hypoglycemia and weight gain for overweight and obesity individuals should be avoided as much as possible.At the same time，the risk of infection and hyperglycemic crisis must also be avoided due to loose glycemic control.

Key words: hyperglycemia, inpatients, consensus statement

摘要：

住院患者中高血糖可增加其并发症的发生率、病死率及医疗费用开支，并延长住院时间。为安全、有效地控制住院患者的高血糖，中华医学会内分泌学分会组织相关专家制定了关于中国成人住院患者高血糖管理的共识原则：强调个体化原则，根据不同患者和不同病情制定分层血糖控制目标；糖尿病患者住院期间血糖不一定要求达标；一般不应该快速降糖；降糖治疗应尽量避免低血糖及超重和肥胖者体重增加；避免宽松血糖管理增加感染和高血糖危象的风险。

关键词: 高血糖, 住院患者, 共识

CLC Number:

R587.1

LVQing-guo，TONG Nan-wei.. Interpretation of Chinese Society of Endocrinology consensus statement on hyperglycemia management target in adult inpatients in China.[J]. Acta Metallurgica Sinica.

吕庆国，童南伟. 《中国成人住院患者高血糖管理目标》专家共识解读[J]. 中国实用内科杂志.

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