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Dysglycemia in Critically Ill Patients From Medicine FREE TO VIEW

Weekitt Kittisupamongkol, MD
Author and Funding Information

Hua Chiew Hospital Bangkok, Thailand

Correspondence to: Weekitt Kittisupamongkol, MD, Hua Chiew Hospital, 665 Bumrungmuang Rd, Bangkok 10100, Thailand; e-mail: weekitti@gmail.com

The author has reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).


The author has reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

The author has reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).


Chest. 2009;135(1):247-248. doi:10.1378/chest.08-1607
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Published online

To the Editor:

I read with interest the article in CHEST (June 2008) by Hirshberg and colleagues.1 I was wondering whether the effects of medications on glucose metabolism are underestimated.24 Medications that are commonly prescribed in the ICU (eg, β-blockers, thiazide diuretics, and furosemide) could precipitate hyperglycemia. Gatifloxacin is widely used, but the glycemic effect of fluoroquinolone was reported4 after the study by Hirshberg et al1 was published. Perhaps, if the authors focus more on these medications, they might discover that the top 10 factors contributing to hyperglycemia that were cited in the article have changed.

Hirshberg E, Lacroix J, Sward K, et al. Blood glucose control in critically ill adults and children: a survey on stated practice. Chest. 2008;133:1328-1335. [PubMed] [CrossRef]
 
Pandit MK, Burke J, Gustafson AB, et al. Drug-induced disorders of glucose tolerance. Ann Intern Med. 1993;118:529-539. [PubMed]
 
Luna B, Feinglos MN. Drug-induced hyperglycemia. JAMA. 2001;286:1945-1948. [PubMed] [CrossRef]
 
Park-Wyllie LY, Juurlink DN, Kopp A, et al. Outpatient gatifloxacin therapy and dysglycemia in older adults. N Engl J Med. 2006;354:1352-1361. [PubMed] [CrossRef]
 

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References

Hirshberg E, Lacroix J, Sward K, et al. Blood glucose control in critically ill adults and children: a survey on stated practice. Chest. 2008;133:1328-1335. [PubMed] [CrossRef]
 
Pandit MK, Burke J, Gustafson AB, et al. Drug-induced disorders of glucose tolerance. Ann Intern Med. 1993;118:529-539. [PubMed]
 
Luna B, Feinglos MN. Drug-induced hyperglycemia. JAMA. 2001;286:1945-1948. [PubMed] [CrossRef]
 
Park-Wyllie LY, Juurlink DN, Kopp A, et al. Outpatient gatifloxacin therapy and dysglycemia in older adults. N Engl J Med. 2006;354:1352-1361. [PubMed] [CrossRef]
 
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