Relative Hypoglycemia in Diabetic Patients With Critical Illness
Timothy N Kwan, Lara Zwakman-Hessels, Nada Marhoon, Ray Robbins, Johan Martensson, Elif Ekinci, Rinaldo Bellomo
Critical Care Medicine | LIPPINCOTT WILLIAMS & WILKINS | Published : 2020
OBJECTIVES: Relative hypoglycemia is a decrease in glucose greater than or equal to 30% below prehospital admission levels (estimated by hemoglobin A1C) but not to absolute hypoglycemia levels. It is a recognized pathophysiologic phenomenon in ambulant poorly controlled diabetic patients but remains unexamined during critical illness. We examined the frequency, characteristics, and outcome associations of relative hypoglycemia in diabetic patients with critical illness. DESIGN: Retrospective cohort study. SETTING: ICU of a tertiary hospital. PATIENTS: One-thousand five-hundred ninety-two critically ill diabetic patients between January 2013 and December 2017. INTERVENTIONS: None. MEASUREMENT..View full abstract
Dr. Ekinci's institution received funding from Novo Nordisk and Sanofi. The remaining authors have disclosed that they do not have any potential conflicts of interest.