January 10, 2012

A glucose checkpoint for your security while in the hospital


A visit to the hospital usually involves treatment for an illness but a new proposal from experts may have you caring about more than you realized. The Endocrine Society recommends that all hospitalized patients have their blood glucose level checked.

Hospitals, inherently, are stressful places. If you are in the hospital – chances are adrenaline is coursing through your blood and your bG is a little higher than usual. This may be like shooting fish in a barrel. It just seems that a lot of false-positive results are going to be had in this pseudo environment. But I acknowledge this is not an effort to diagnose diabetes in patients. This is an effort to optimize the safety for the patient. I’m overdramatizing the reality of a homeland glucose checkpoint.

So when would this blood glucose testing be done? The new Clinical Practice Guideline (CPG) suggests that all patients, independent of a prior diagnosis of diabetes, have their blood glucose levels tested upon admission to a hospital. The cut-off mark at which non-diabetic patients are to receive bedside point-of-care glucose testing is noted in the news release as high on admission. The GPC likely has a numerical value.

The experts who suggest glucose testing for all hospitalized patients found that 32% to 38% of non-diabetic hospitalized patients exhibit hyperglycemia. Elevated blood glucose is associated with increased risk of mortality, illness complications, and hospital stay. This is a precautionary effort for the benefit of the patient. You’re welcome .

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