National Consensus Guide to the Diagnosis and Treatment of Hyperglycemic Emergencies

Abstract

Introduction: consensus Guidelines most prestigious worldwide do not provide specific recommendations for the management of the Hyperglycemic syndrome under intensive care which encourages hospitals to develop guidelines for the management, diagnosis and treatment of this syndrome in intensive care adapted to different regional and / or national contexts.

Objective: develop a diagnosis and treatment guide of hyperglycemic emergencies.

Method: endocrinologists, and intensivists as experts representing the whole country, met during the 42nd Anniversary of the Founding of the Diabetes Care Center of Havana, for the preliminary discussion of this national guidance.

Results: after extensive discussion it was established, the preliminary version of the guidelines which detail the diagnostic criteria, objectives, therapeutic goals and treatment of patients in HGS from the admission in ICU, to the intermediate care and discharge. Monitoring guidelines are established, insulins approved for use, pathways and therapeutic schemes at every level of emergent care and therapeutic transition criteria from continuous intravenous insulin infusion to the schemes of basal-bolus intensive treatment indicated once the patient was compensated. It is also established some directions for the management of hypoglycemic events and blood glucose management during the perioperative period during elective surgery