الفهرس 
AcknowledgmentOnly 14 pages are availabe for public view
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Abstract
Hyperglycemia is common in acutely ill hospitalized patients and has been linked to poor outcomes, independent of pre-existing diabetes. Current guidelines from various professional organizations recommend the treatment of inpatient hyperglycemia because correction of hyperglycemia decreases morbidity and mortality. Stress hyperglycemia is common and likely to be associated with at least some of the same complications as hyperglycemia in true diabetes mellitus, such as poor wound healing and a higher infection rate, polyneuropathy, multiple-organ failure, and death. Hyperglycemia correlated with prolonged ventilator dependency and increased hospital length of stay in premature septic infants. Avoidance of excessive nutrient delivery and tight glycemic control during periods of acute metabolic stress may improve outcome in this patient population. Reports vary in their estimation of the risk of developing diabetes mellitus after presenting with transient hyperglycemia. There are many influences in the hospital setting, thatcan exacerbate abnormal glucose values in patients with and without known diabetes. Corticosteroids, catecholamines, and parenteral nutrition, Medications diluted in 5% dextrose, such as intravenous antibiotics, and blood products, such as packed red blood cells that are preserved in a low-concentration dextrose solution.