Diabetes Mellitus and Stress Hyperglycemia

Type 2 Diabetes Defeated

Most Effective Diabetes Treatments

Get Instant Access

Diabetes mellitus increases the relative risk of in-hospital mortality by at least 1.5-2 compared with nondiabetic patients (15). Diabetic women in particular have a relatively poor prognosis, in part related to an increased incidence of congestive heart failure, rein-farction, and recurrent ischemic events (15-18). Late mortality is significantly increased in diabetic compared with nondiabetic patients (19).

Stress hyperglycemia at the time of MI is strongly correlated with mortality rates. In a meta-analysis conducted by Capes et al. (20), data from 15 trials reporting admission glucose concentrations in relation to in-hospital mortality or heart failure rates after AMI were reviewed. In the patients without known diabetes, those with a glucose concentration >109-143 mg/dL had a 3.9-fold higher risk of death compared to patients with lower glucose concentrations. At glucose concentrations of > 143-180 mg/dL, the risk of cardiogenic shock or heart failure was increased 3-fold. In patients with frank diabetes, glucose concentrations >180-196 mg/dL were associated with a moderate risk of death (relative risk 1.7).

Was this article helpful?

0 0
Diabetes Sustenance

Diabetes Sustenance

Get All The Support And Guidance You Need To Be A Success At Dealing With Diabetes The Healthy Way. This Book Is One Of The Most Valuable Resources In The World When It Comes To Learning How Nutritional Supplements Can Control Sugar Levels.

Get My Free Ebook

Post a comment