Cardiovasc Diabetol
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Cardiovasc Diabetol · Jan 2007
Comparative Study Clinical TrialThe impact of a reduced dose of dexamethasone on glucose control after coronary artery bypass surgery.
Intensive insulin therapy to maintain normoglycemia after cardiac surgery reduces morbidity and mortality. We investigated the magnitude and duration of hyperglycemia caused by dexamethasone administered after cardiopulmonary bypass. ⋯ Dexamethasone exerts a hyperglycemic effect in cardiac surgery patients. Patients receiving high-dose corticosteroid therapy should be monitored and treated more intensively for hyperglycemic episodes.