Hyperglycemia in nondiabetic patients during the acute phase of stroke

OBJECTIVE: To determine patterns of hyperglycemic (HG) control in acute stroke. METHODS: Anonymous survey through Internet questionnaire. Participants included Latin-American physicians specialized in neurocritical care. RESULTS: The response rate was 74%. HG definition varied widely. Fifty per cent...

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Main Authors: Daniel Agustin Godoy, Caridad Soler, Walter Videtta, Luis Castillo Fuenzalida, Jorge Paranhos, Marcelo Costilla, Gustavo Piñero, Manuel Jibaja, Leonardo Jardim Vaz de Melo
Format: Article
Language:English
Published: Academia Brasileira de Neurologia (ABNEURO) 2012-02-01
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000200012&lng=en&tlng=en
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author Daniel Agustin Godoy
Caridad Soler
Walter Videtta
Luis Castillo Fuenzalida
Jorge Paranhos
Marcelo Costilla
Gustavo Piñero
Manuel Jibaja
Leonardo Jardim Vaz de Melo
author_facet Daniel Agustin Godoy
Caridad Soler
Walter Videtta
Luis Castillo Fuenzalida
Jorge Paranhos
Marcelo Costilla
Gustavo Piñero
Manuel Jibaja
Leonardo Jardim Vaz de Melo
author_sort Daniel Agustin Godoy
collection DOAJ
description OBJECTIVE: To determine patterns of hyperglycemic (HG) control in acute stroke. METHODS: Anonymous survey through Internet questionnaire. Participants included Latin-American physicians specialized in neurocritical care. RESULTS: The response rate was 74%. HG definition varied widely. Fifty per cent considered it when values were >140 mg/dL (7.8 mmol/L). Intravenous (IV) regular insulin was the drug of choice for HG correction. One fifth of the respondents expressed adherence to a protocol. Intensive insulin therapy (IIT) was used by 23%. Glucose levels were measured in all participants at admission. Routine laboratory test was the preferred method for monitoring. Reactive strips were more frequently used when monitoring was intensive. Most practitioners (56.7%) monitored glucose more than two times daily throughout the Intensive Care Unit stay. CONCLUSIONS: There is considerable variability and heterogeneity in the management of elevated blood glucose during acute phase of stroke by the surveyed Latin-American physicians.
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spelling doaj.art-87e3487e4f514262be92bf6e9d5913592022-12-21T20:27:04ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272012-02-0170213413910.1590/S0004-282X2012000200012S0004-282X2012000200012Hyperglycemia in nondiabetic patients during the acute phase of strokeDaniel Agustin GodoyCaridad SolerWalter VidettaLuis Castillo FuenzalidaJorge ParanhosMarcelo CostillaGustavo PiñeroManuel JibajaLeonardo Jardim Vaz de MeloOBJECTIVE: To determine patterns of hyperglycemic (HG) control in acute stroke. METHODS: Anonymous survey through Internet questionnaire. Participants included Latin-American physicians specialized in neurocritical care. RESULTS: The response rate was 74%. HG definition varied widely. Fifty per cent considered it when values were >140 mg/dL (7.8 mmol/L). Intravenous (IV) regular insulin was the drug of choice for HG correction. One fifth of the respondents expressed adherence to a protocol. Intensive insulin therapy (IIT) was used by 23%. Glucose levels were measured in all participants at admission. Routine laboratory test was the preferred method for monitoring. Reactive strips were more frequently used when monitoring was intensive. Most practitioners (56.7%) monitored glucose more than two times daily throughout the Intensive Care Unit stay. CONCLUSIONS: There is considerable variability and heterogeneity in the management of elevated blood glucose during acute phase of stroke by the surveyed Latin-American physicians.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000200012&lng=en&tlng=eninfarto cerebralhemorragia cerebralhiperglucemiainsulinaLatinoamérica
spellingShingle Daniel Agustin Godoy
Caridad Soler
Walter Videtta
Luis Castillo Fuenzalida
Jorge Paranhos
Marcelo Costilla
Gustavo Piñero
Manuel Jibaja
Leonardo Jardim Vaz de Melo
Hyperglycemia in nondiabetic patients during the acute phase of stroke
Arquivos de Neuro-Psiquiatria
infarto cerebral
hemorragia cerebral
hiperglucemia
insulina
Latinoamérica
title Hyperglycemia in nondiabetic patients during the acute phase of stroke
title_full Hyperglycemia in nondiabetic patients during the acute phase of stroke
title_fullStr Hyperglycemia in nondiabetic patients during the acute phase of stroke
title_full_unstemmed Hyperglycemia in nondiabetic patients during the acute phase of stroke
title_short Hyperglycemia in nondiabetic patients during the acute phase of stroke
title_sort hyperglycemia in nondiabetic patients during the acute phase of stroke
topic infarto cerebral
hemorragia cerebral
hiperglucemia
insulina
Latinoamérica
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000200012&lng=en&tlng=en
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AT luiscastillofuenzalida hyperglycemiainnondiabeticpatientsduringtheacutephaseofstroke
AT jorgeparanhos hyperglycemiainnondiabeticpatientsduringtheacutephaseofstroke
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