Do we need to screen every patient in intensive care unit for diabetes in community with high prevalence of diabetes?  

作　　者：Taru Dutt Rahul Kashyap Salim Surani 

机构地区：[1]Department of Neurology Research, Mayo Clinic, Rochester, MN 55902, United States [2]Department of Anesthesiology and Peri-operative Medicine, Critical Care IMP, Mayo Clinic, Rochester, MN 55902, United States [3]Health Science Center, Texas A and M University, Corpus Christi, TX 78404, United States

出　　处：《World Journal of Diabetes》2019年第3期137-139,共3页世界糖尿病杂志（英文版）（电子版）

摘　　要：Diabetes mellitus (DM) is marked as global health care challenge with almost 10% of the United States population being diagnosed with DM. A sizeable percentage of patients are oblivious of their disease, in spite of easily accessibility knowledge about its early signs and symptoms and rapid diagnostic modalities. Critically ill patients with undiagnosed DM are likely to have an increased mortality as compared to intensive care unit (ICU) patients with diagnosed DM. DM may have adverse effect on ICU patients causing organ failure and complications. Early Screening of patients at the risk of developing disease may prevent long term complications. Early screening and management may be beneficial as controlled DM patients have similar morbidity as non DM patients in ICU. An intense glycaemic and blood pressure control improves retinopathy and albuminuria, but may not affect the macrovascular outcomes.Diabetes mellitus(DM) is marked as global health care challenge with almost10% of the United States population being diagnosed with DM. A sizeable percentage of patients are oblivious of their disease, in spite of easily accessibility knowledge about its early signs and symptoms and rapid diagnostic modalities.Critically ill patients with undiagnosed DM are likely to have an increased mortality as compared to intensive care unit(ICU) patients with diagnosed DM.DM may have adverse effect on ICU patients causing organ failure and complications. Early Screening of patients at the risk of developing disease may prevent long term complications. Early screening and management may be beneficial as controlled DM patients have similar morbidity as non DM patients in ICU. An intense glycaemic and blood pressure control improves retinopathy and albuminuria, but may not affect the macrovascular outcomes.

关 键 词：DIABETES MELLITUS INTENSIVE care unit MICROVASCULAR MACROVASCULAR DIABETES screening 

分 类 号：R[医药卫生]