Hyperglycemia is common in critically ill patients and can be caused by various mechanisms, including nutrition, medications, and insufficient insulin. In the past, hyperglycemia was thought to be an adaptive response to stress, but hyperglycemia is no longer considered a benign condition in patients with critical illnesses. Indeed, hyperglycemia can increase morbidity and mortality in critical...

objective: to evaluate the relation between major depressions and glucose control index in type 2 diabetes mellitus. materials and methods: one- hundred thirty four patients with type 2 diabetes were enrolled in this study. hamilton rating scale for depression (ham-d) and hba1c were measured in patients. linear mixed-model analysis was applied to determine the relation between hba1c levels and ...

RESEARCH DESIGN AND METHODS — Glycemic control, hypoglycemia, and body weight were monitored over 6 years in 826 patients with newly diagnosed type 2 diabetes in 8 of 23 U.K. Prospective Diabetes Study (UKPDS) centers that used a modified protocol. Patients were randomly allocated to a conventional glucose control policy, primarily with diet (n 242) or an intensive policy with insulin alone (n ...

RESEARCH DESIGN AND METHODSdThe 12-month, randomized, clinical trial enrolled 1,024 patients with noninsulin-treated type 2 diabetes (median baseline HbA1c, 7.3% [IQR, 6.9–7.8%]) at 39 diabetes clinics in Italy. After standardized education, 501 patients were randomized to intensive structured monitoring (ISM) with 4-point glycemic profiles (fasting, preprandial, 2-h postprandial, and postabsor...

The Diabetes Complications and Control Trial (DCCT) established that diabetic complications could be reduced by improvement in glycemic control. The ideal diabetes treatment protocol would maintain blood glucose levels in normal ranges without resulting in frequent hypoglycemia. Because several studies suggest an inverse relationship between carbohydrate consumption and the level of glycemic co...

PubMed Citation The results of the Diabetes Control and Complications Trial (DCCT), published in this issue of the Journal,1 demonstrate that intensive insulin therapy can delay the onset and slow the progression of retinopathy, nephropathy, and neuropathy in patients with insulin-dependent diabetes mellitus (IDDM). These findings, which extend those of two other recent studies,2,3 should put t...

Intensive insulin therapy (IIT) for hyperglycemia in critically ill patients has become a standard practice. Target levels for glycemia have fluctuated since 2000, as evidence initially indicated that tight glycemic control to so-called normoglycemia (80-110 mg/dl) leads to the lowest morbidity and mortality without hypoglycemic complications. Subsequent studies have demonstrated minimal clinic...

introduction: the present study aimed to investigate the effectiveness of group cognitive behavioral therapy in reducing anxiety and depression and glycemic control in children with type i diabetes. methods and matherials: the study was quasi- experimental with a pre-test, post-test design with control group. for this purpose, 30 children with diabetes were selected from imam reza hospital in m...