Management of hyperglycaemia and steroid (glucocorticoid) therapy: a guideline from the Joint British Diabetes Societies (JBDS) for Inpatient Care group

Diabetic Medicine : a Journal of the British Diabetic Association
A RobertsJoint British Diabetes Societies (JBDS) for Inpatient Care

Abstract

Glucocorticoids (steroids) are widely used across many medical specialities for their anti-inflammatory and immunosuppressive properties. However, one of their major side effects is the development of hyperglycaemia. It is well recognized that high glucose levels in people with diabetes in hospital are associated with harm and increased lengths of hospital stay. The use of glucocorticoid (steroid) treatment in people with pre-existing diabetes will undoubtedly result in worsening glucose control, and this may be termed 'steroid-induced hyperglycaemia', and will warrant temporary additional, and more active, glycaemic management. A rise in glucose may occur in people without a known diagnosis of diabetes, and this may be termed 'steroid-induced diabetes'. There is a lack of evidence to guide how people with hyperglycaemia should be managed, and much of the guidance given here is a consensus based on best practice collated from around the United Kingdom. Where evidence is available, this is referenced. These guidelines on the management of people with diabetes treated with steroids has been adapted specifically for Diabetic Medicine. The full version of the guidelines can be found on line at: www.diabetes.org.uk/joint-british-dia...Continue Reading

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Citations

Jan 18, 2019·Clinical Medicine : Journal of the Royal College of Physicians of London·Nadine AbbasMartin Brunel Whyte
Sep 10, 2019·Diabetic Medicine : a Journal of the British Diabetic Association·A J SinclairUNKNOWN an International Group of Experts
Jan 7, 2020·Journal of Clinical Pharmacy and Therapeutics·Theocharis KoufakisKalliopi Kotsa
Apr 13, 2020·Diabetic Medicine : a Journal of the British Diabetic Association·K DhatariyaUNKNOWN Joint British Diabetes Society (JBDS) for Inpatient Care Group and guidelines writing group
Dec 22, 2019·Diabetes Care·UNKNOWN American Diabetes Association
Aug 3, 2020·Diabetic Medicine : a Journal of the British Diabetic Association·G RaymanR Stewart
May 16, 2020·Nature Reviews. Disease Primers·Ketan K DhatariyaGuillermo E Umpierrez
Jul 7, 2020·American Journal of Therapeutics·Alyson K MyersAmanda Lin
Aug 29, 2018·Diabetic Medicine : a Journal of the British Diabetic Association·R I G Holt
Aug 1, 2020·Rheumatology Advances in Practice·Chetan MukhtyarKetan Dhatariya
Oct 4, 2020·Sleep Medicine Reviews·Bartosz SzmydAgata Gabryelska
Dec 11, 2020·Diabetes Care·UNKNOWN American Diabetes Association
Jan 31, 2021·The Lancet. Diabetes & Endocrinology·Francisco J PasquelGuillermo E Umpierrez
Jun 3, 2021·Journal of Clinical Medicine·Felix AbererJulia K Mader
Jul 10, 2021·Diabetic Medicine : a Journal of the British Diabetic Association·Nalinie Joharatnam-HoganUNKNOWN Joint British Diabetes Society for Inpatient Care (JBDS), UK Chemotherapy Board (UKCB)
Aug 23, 2021·Pharmacotherapy·Andrew C StoneJoshua W Gaborcik
Aug 13, 2020·La Revue de médecine interne·M Bastin, F Andreelli

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