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  • Title: Systematic strategies for improved outcomes for the hyperglycemic hospitalized patient with diabetes mellitus.
    Author: Vasa F.
    Journal: Am J Cardiol; 2005 Aug 22; 96(4A):41E-46E. PubMed ID: 16098843.
    Abstract:
    Diabetes mellitus is reaching epidemic proportions in the United States. It is now the fourth most common comorbid condition complicating hospital discharges. There is a rapidly evolving body of literature assessing the short-term and long-term effects of strict glycemic control in the hospital setting. Results from several landmark studies have challenged the long-held notion that stress hyperglycemia is beneficial. This article will focus on these studies, postulated mechanisms of action, and finally, description of an insulin infusion protocol developed at a community hospital for patients undergoing cardiac surgery.
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