Stress hyperglycemia

Stress Hyperglycemia is a medical condition characterized by an increase in blood glucose levels in response to physical or emotional stress. This condition is commonly observed in patients who are critically ill or undergoing surgery. It is also known as "stress-induced diabetes" and can occur in individuals who do not have diabetes.

Causes

Stress hyperglycemia is caused by the release of stress hormones such as cortisol, adrenaline, and glucagon. These hormones increase the production and release of glucose by the liver, leading to elevated blood glucose levels. This condition can also be caused by the administration of certain medications, such as steroids and beta-blockers, which can increase blood glucose levels.

Symptoms

The symptoms of stress hyperglycemia are similar to those of diabetes and include increased thirst, frequent urination, fatigue, and blurred vision. However, these symptoms may not be noticeable in individuals who are critically ill or undergoing surgery.

Diagnosis

Stress hyperglycemia is diagnosed through blood tests that measure blood glucose levels. A blood glucose level of 200 mg/dL or higher is considered indicative of stress hyperglycemia.

Treatment

The treatment for stress hyperglycemia involves managing the underlying cause of the condition. This may involve adjusting the dosage of medications that increase blood glucose levels or treating the underlying illness or condition causing the stress. In some cases, insulin therapy may be required to control blood glucose levels.

Prognosis

The prognosis for individuals with stress hyperglycemia depends on the severity of the condition and the underlying cause. In some cases, blood glucose levels may return to normal once the stressor is removed. However, in other cases, long-term management of blood glucose levels may be required.

See Also

• Diabetes
• Hyperglycemia
• Glucose
• Cortisol
• Adrenaline
• Glucagon