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• W209659968 abstract "Diabetes is a global health problem and Mexico rank sixth in prevalence of this entity. In our country, is the leading cause of death and is a major cause of hospital care being responsible for about 1 in 5 discharges. In the hospital setting, it has been observed that hyperglycemia, both diabetic and non-diabetic patients, is associated with an increased risk of complications, disability and death, and that adequate control in the blood glucose level produces a reduction in these complications. With these bases, several associations have recommended the treatment of hospital hyperglycemia through insulin administration, with the therapeutic goal of maintaining a fasting blood glucose level between 100-140 mg/dL and glucose at any time of day less than 180 mg/dL. The insulin application method most recommended consisting in a basal-bolus regimen which has shown efficacy with a low risk of hypoglycemia. The usual practice of the application of insulin through a correction scheme should be abandoned because it is inefficient and involves risks. La diabetes es un problema de salud mundial y México ocupa el sexto lugar en prevalencia de esta enfermedad. En nuestro país es la principal causa de muerte y una de las principales causas de atención hospitalaria, siendo responsable de aproximadamente 1 de cada 5 egresos. En el ámbito hospitalario, se ha observado que la hiperglucemia, tanto en pacientes diabéticos como en los no diabéticos, está asociada a un mayor riesgo de complicaciones, discapacidad y muerte, y que el control adecuado del nivel de glucosa sanguínea ayuda a reducir estas complicaciones. Por tal motivo, diversas asociaciones han recomendado el tratamiento de la hiperglucemia hospitalaria mediante la administración de insulina, con la meta terapéutica de mantener un nivel de glucosa sanguínea en ayuno entre 100 a 140 mg/dL, y una glucosa a cualquier hora del día menor a 180 mg/dL. El método de aplicación de insulina más recomendado consta de un régimen basal-bolo, el cual ha mostrado eficacia con un bajo riesgo de hipoglucemia. La práctica habitual de la aplicación de insulina mediante un esquema de corrección debe abandonarse ya que es ineficaz y conlleva riesgos." @default.
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• W209659968 date "2015-03-12" @default.
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• W209659968 title "[Management of hyperglycemia in hospitalized patients]." @default.
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