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Management of hyperglycaemia and steroid (glucocorticoid) therapy: a guideline from the Joint British Diabetes Societies ( <scp>JBDS</scp> ) for Inpatient Care group
- Source :
- Diabetic Medicine. 35:1011-1017
- Publication Year :
- 2018
- Publisher :
- Wiley, 2018.
-
Abstract
- Glucocorticoids (steroids) are widely used across many medical specialities for their anti-inflammatory and immunosuppressive properties. However, one of their major side effects is the development of hyperglycaemia. It is well recognized that high glucose levels in people with diabetes in hospital are associated with harm and increased lengths of hospital stay. The use of glucocorticoid (steroid) treatment in people with pre-existing diabetes will undoubtedly result in worsening glucose control, and this may be termed 'steroid-induced hyperglycaemia', and will warrant temporary additional, and more active, glycaemic management. A rise in glucose may occur in people without a known diagnosis of diabetes, and this may be termed 'steroid-induced diabetes'. There is a lack of evidence to guide how people with hyperglycaemia should be managed, and much of the guidance given here is a consensus based on best practice collated from around the United Kingdom. Where evidence is available, this is referenced. These guidelines on the management of people with diabetes treated with steroids has been adapted specifically for Diabetic Medicine. The full version of the guidelines can be found on line at: www.diabetes.org.uk/joint-british-diabetes-society or https://abcd.care/joint-british-diabetes-societies-jbds-inpatient-care-group.
- Subjects :
- medicine.medical_specialty
Glucose control
Endocrinology, Diabetes and Metabolism
MEDLINE
030209 endocrinology & metabolism
Diabetes Complications
03 medical and health sciences
0302 clinical medicine
Endocrinology
Diabetes mellitus
Diabetes Mellitus
Internal Medicine
Humans
Medicine
030212 general & internal medicine
Intensive care medicine
Glucocorticoids
Societies, Medical
Inpatients
Inpatient care
business.industry
Guideline
Continuity of Patient Care
medicine.disease
Patient Discharge
United Kingdom
Hospitalization
Glucocorticoid therapy
Hyperglycemia
High glucose
business
Glucocorticoid
medicine.drug
Subjects
Details
- ISSN :
- 14645491 and 07423071
- Volume :
- 35
- Database :
- OpenAIRE
- Journal :
- Diabetic Medicine
- Accession number :
- edsair.doi.dedup.....3c54bea4c20cbbb22295cc77e0c4a7ae