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A Practical Guide for the Management of Steroid Induced Hyperglycaemia in the Hospital

1
Division of Endocrinology and Diabetology, Medical University of Graz, 8036 Graz, Austria
2
Interdisciplinary Metabolic Medicine Trials Unit, Medical University of Graz, 8036 Graz, Austria
*
Author to whom correspondence should be addressed.
Academic Editor: Manuel Aguilar-Diosdado
J. Clin. Med. 2021, 10(10), 2154; https://doi.org/10.3390/jcm10102154
Received: 14 March 2021 / Revised: 5 May 2021 / Accepted: 10 May 2021 / Published: 16 May 2021
(This article belongs to the Special Issue The Prevention, Treatment, and Complications of Diabetes Mellitus)
Glucocorticoids represent frequently recommended and often indispensable immunosuppressant and anti-inflammatory agents prescribed in various medical conditions. Despite their proven efficacy, glucocorticoids bear a wide variety of side effects among which steroid induced hyperglycaemia (SIHG) is among the most important ones. SIHG, potentially causes new-onset hyperglycaemia or exacerbation of glucose control in patients with previously known diabetes. Retrospective data showed that similar to general hyperglycaemia in diabetes, SIHG in the hospital and in outpatient settings detrimentally impacts patient outcomes, including mortality. However, recommendations for treatment targets and guidelines for in-hospital as well as outpatient therapeutic management are lacking, partially due to missing evidence from clinical studies. Still, SIHG caused by various types of glucocorticoids is a common challenge in daily routine and clinical guidance is needed. In this review, we aimed to summarize clinical evidence of SIHG in inpatient care impacting clinical outcome, establishment of diagnosis, diagnostic procedures and therapeutic recommendations. View Full-Text
Keywords: steroid induced hyperglycaemia; hospital; practical guide steroid induced hyperglycaemia; hospital; practical guide
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MDPI and ACS Style

Aberer, F.; Hochfellner, D.A.; Sourij, H.; Mader, J.K. A Practical Guide for the Management of Steroid Induced Hyperglycaemia in the Hospital. J. Clin. Med. 2021, 10, 2154. https://doi.org/10.3390/jcm10102154

AMA Style

Aberer F, Hochfellner DA, Sourij H, Mader JK. A Practical Guide for the Management of Steroid Induced Hyperglycaemia in the Hospital. Journal of Clinical Medicine. 2021; 10(10):2154. https://doi.org/10.3390/jcm10102154

Chicago/Turabian Style

Aberer, Felix; Hochfellner, Daniel A.; Sourij, Harald; Mader, Julia K. 2021. "A Practical Guide for the Management of Steroid Induced Hyperglycaemia in the Hospital" J. Clin. Med. 10, no. 10: 2154. https://doi.org/10.3390/jcm10102154

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