| Title: | Incidence and control of steroid-induced hyperglycaemia in hospitalised patients at a tertiary care centre for lung diseases |
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| Authors: | ID Dobravc Verbič, Matej, Klinika Golnik (Author)
ID Gruban, Jasna (Author)
ID Kerec Kos, Mojca (Author) |
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| Files: |  URL - Source URL, visit https://link.springer.com/article/10.1007/s43440-021-00234-2
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| Language: | English |
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| Typology: | 1.01 - Original Scientific Article |
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| Organization: |  UKPBAG - University Clinic of Respiratory and Allergic Diseases Golnik
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| Abstract: | Background The aim of this study was to determine the incidence of steroid-induced hyperglycaemia (SIH) in patients hospitalised at the tertiary centre for lung diseases, to assess glycaemic control during hospitalisation, and to determine the factors associated with the control of SIH. Methods A 4-month retrospective study was conducted. All patients who received systemic glucocorticoids for%%%2 days during hospitalisation, with%%%2 elevated blood glucose (BG) readings, were included in the analysis. SIH control was determined by mean BG levels, the number and proportion of elevated and pronouncedly elevated BG readings, and the number of hypoglycaemic events. Results 60 of 283 patients (21.2%) developed SIH, of which 55 patients were included in further analysis. Mean fasting and daytime BG levels were 7.8%%%2.9 mmol/l and 10.9%%%2.2 mmol/l, respectively. 41/55 patients (74.5%) had elevated average BG levels. 45/55 patients (81.8%) had%>%5 readings or%>%20% of all readings exceeding hyperglycaemia threshold, and 33/55 patients (60.0%) had pronouncedly elevated BG levels on more than one occasion. 6/55 patients (10.9%) experienced more than one hypoglycaemic event or a severe hypoglycaemia. Only 9/55 patients (16.4%) achieved adequate SIH control according to all defined criteria. Pre-existing diabetes and longer duration of hospital treatment with low glucocorticoid dose were significantly associated with poorer glycaemic control (p%<%0.001 and p%=%0.003, respectively). Conclusions Appropriate SIH management was demonstrated to be challenging. According to the defined criteria, adequate glycaemic control during hospitalisation was not achieved in the large majority of patients with SIH. |
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| Keywords: | hyperglycaemia, glucocorticoids, acetylcholine, blood glucose levels, antidiabetic therapy, steroid diabetes |
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| Publication status: | In print |
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| Publication version: | Author Accepted Manuscript |
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| Place of publishing: | Švica |
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| Publisher: | Springer Nature |
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| Year of publishing: | 2021 |
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| Number of pages: | [v tisku] |
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| Numbering: | Vol. , no. |
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| PID: | 20.500.12556/DiRROS-13739  |
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| UDC: | 616.379-008.64+616.24 |
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| ISSN on article: | 1734-1140 |
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| DOI: | 10.1007/s43440-021-00234-2 |
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| COBISS.SI-ID: | 53510403 |
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| Copyright: | © Maj Institute of Pharmacology Polish Academy of Sciences |
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| Publication date in DiRROS: | 10.03.2021 |
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| Views: | 924 |
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| Downloads: | 224 |
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