Стрессорная гипергликемия у пациентов без сахарного диабета

Стрессорная гипергликемия — физиологический защитный механизм, проявляющийся в повышении гликемии при остром неблагополучии. Несмотря на то, что наличие этого феномена и его неблагоприятное воздействие на организм не подвергаются сомнению, до сих пор нет алгоритмов периоперационного ведения пациентов без сахарного диабета в анамнезе: обязательного контроля гликемии, частоты контроля, точки вмешательства для глюкозы, оптимального режима инсулинотерапии, методов нивелирования повышения уровня глюкозы. В данном обзоре обсуждаются дефиниции стрессорной гипергликемии, патогенез, влияние ее на организм человека, cut-off для глюкозы, предикторы гипергликемии и возможные способы предотвращения неблагоприятных последствий.

Поиск литературных источников проводился в системах Pubmed, E-library, Cochrane library с 1995 по 2023 гг.

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