Hiperglucemia inducida por glucocorticoides en el paciente hospitalizado: enfoque y manejo

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Tous Lopera, R., Coy Barrera, A. F., & Rojas García, W. (2019). Hiperglucemia inducida por glucocorticoides en el paciente hospitalizado: enfoque y manejo. Revista Colombiana De Endocrinología, Diabetes &Amp; Metabolismo, 6(1), 55–61. https://doi.org/10.53853/encr.6.1.469


La hiperglucemia inducida por glucocorticoides es un escenario frecuente al cual se enfrenta el clínico durante su práctica hospitalaria diaria, constituyendo un reto en el abordaje y control del estado metabólico de estos pacientes, con el fin de disminuir su morbimortalidad asociada. Presentamos el caso clínico de una paciente de género femenino de 69 años con antecedente de diabetes mellitus tipo 2 y linfoma no Hodgkin, hospitalizada para inicio de ciclo quimioterapéutico, durante el cual se documentan hiperglucemias sostenidas de difícil manejo. La paciente recibió tratamiento con esquema basalbolo y un bolo adicional de insulina NPH titulado según las dosis y tipo de glucocorticoide aplicado, alcanzando adecuado control metabólico.

Se realiza una revisión de la literatura respecto a la hiperglucemia inducida por glucocorticoides, su abordaje y tratamiento, y las recomendaciones existentes en cuanto al uso de insulina NPH como esquema adicional correctivo.



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Diabetes Technol Ther 2014; 16: 874-879.
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