{"id":28843,"date":"2024-08-16T10:17:22","date_gmt":"2024-08-16T13:17:22","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=28843"},"modified":"2026-04-24T17:04:46","modified_gmt":"2026-04-24T20:04:46","slug":"emergencias-hiperglicemicas-complicacoes-graves-sinais-e-sintomas-diagnostico-e-questoes-sobre-tratamentos","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/emergencias-hiperglicemicas-complicacoes-graves-sinais-e-sintomas-diagnostico-e-questoes-sobre-tratamentos\/","title":{"rendered":"Emerg\u00eancias hiperglic\u00eamicas: sinais, sintomas e diagn\u00f3stico"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/emergencias-hiperglicemicas-complicacoes-graves-sinais-e-sintomas-diagnostico-e-questoes-sobre-tratamentos\/#O_que_e_CAD_e_EHH\" >O que \u00e9 CAD e EHH<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/emergencias-hiperglicemicas-complicacoes-graves-sinais-e-sintomas-diagnostico-e-questoes-sobre-tratamentos\/#Sinais_e_sintomas\" >Sinais e sintomas&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/emergencias-hiperglicemicas-complicacoes-graves-sinais-e-sintomas-diagnostico-e-questoes-sobre-tratamentos\/#Fatores_de_risco\" >Fatores de risco<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/emergencias-hiperglicemicas-complicacoes-graves-sinais-e-sintomas-diagnostico-e-questoes-sobre-tratamentos\/#Exames_necessarios\" >Exames necess\u00e1rios&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/emergencias-hiperglicemicas-complicacoes-graves-sinais-e-sintomas-diagnostico-e-questoes-sobre-tratamentos\/#Diagnostico\" >Diagn\u00f3stico<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/emergencias-hiperglicemicas-complicacoes-graves-sinais-e-sintomas-diagnostico-e-questoes-sobre-tratamentos\/#Questoes_sobre_tratamento_de_hiperglicemia_hospitalar\" >Quest\u00f5es sobre tratamento de hiperglicemia hospitalar<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/emergencias-hiperglicemicas-complicacoes-graves-sinais-e-sintomas-diagnostico-e-questoes-sobre-tratamentos\/#Gabarito\" >Gabarito<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/emergencias-hiperglicemicas-complicacoes-graves-sinais-e-sintomas-diagnostico-e-questoes-sobre-tratamentos\/#Conteudos_gratuitos_no_youtube\" >Conte\u00fados gratuitos no youtube<\/a><\/li><\/ul><\/nav><\/div>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Blog-MedCof-2024-08-16T101121.730-1024x576.png\" alt=\"\" class=\"wp-image-28846\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Blog-MedCof-2024-08-16T101121.730-1024x576.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Blog-MedCof-2024-08-16T101121.730-300x169.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Blog-MedCof-2024-08-16T101121.730-768x432.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Blog-MedCof-2024-08-16T101121.730-1536x864.png 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Blog-MedCof-2024-08-16T101121.730-2048x1152.png 2048w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Blog-MedCof-2024-08-16T101121.730-747x420.png 747w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Blog-MedCof-2024-08-16T101121.730-150x84.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Blog-MedCof-2024-08-16T101121.730-696x392.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Blog-MedCof-2024-08-16T101121.730-1068x601.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Blog-MedCof-2024-08-16T101121.730-1920x1080.png 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>Quando o assunto \u00e9 <strong>emerg\u00eancias hiperglic\u00eamicas<\/strong>, h\u00e1 duas principais complica\u00e7\u00f5es mais graves a serem levadas em considera\u00e7\u00e3o: <strong>cetoacidose diab\u00e9tica (CAD)<\/strong> e o <strong>estado hiperosmolar n\u00e3o cet\u00f3tico (EHH)<\/strong>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-o-que-e-cad-e-ehh\"><span class=\"ez-toc-section\" id=\"O_que_e_CAD_e_EHH\"><\/span><strong>O que \u00e9 CAD e EHH<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Cetoacidose diab\u00e9tica \u00e9 um quadro caracterizado por acidose, hiperglicemia, cetonemia e ceton\u00faria. Tal complica\u00e7\u00e3o \u00e9 mais observada em pacientes com diabetes mellitus tipo 1.&nbsp;<br>Estado hiperosmolar n\u00e3o cet\u00f3tico, por sua vez, \u00e9 caracterizado n\u00e3o s\u00f3 por hiperglicemia, acidose e cetonemia, mas tamb\u00e9m por osmolaridade elevada e sintomas neurol\u00f3gicos.&nbsp;<\/p>\n\n\n\n<p>A manifesta\u00e7\u00e3o cl\u00ednica da CAD apresenta evolu\u00e7\u00e3o aguda (em menos de 24h), enquanto que a EHH tem evolu\u00e7\u00e3o mais lenta, caracterizada pela presen\u00e7a de \u201cpolis\u201d:&nbsp; poli\u00faria, polidipsia, polifagia e perda de peso.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-sinais-e-sintomas-nbsp\"><span class=\"ez-toc-section\" id=\"Sinais_e_sintomas\"><\/span><strong>Sinais e sintomas&nbsp;<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Entre os sinais e sintomas h\u00e1 aqueles que s\u00e3o mais comuns em cada condi\u00e7\u00e3o espec\u00edfica, como<strong> dor abdominal<\/strong> em CAD e<strong> altera\u00e7\u00e3o do n\u00edvel de consci\u00eancia<\/strong> em EHH. Entretanto, h\u00e1 aqueles que ambos os quadros podem apresentar: <strong>gastroparesia, desidrata\u00e7\u00e3o grave, respira\u00e7\u00e3o de Kussmaul, n\u00e1useas e v\u00f4mitos.<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-fatores-de-risco\"><span class=\"ez-toc-section\" id=\"Fatores_de_risco\"><\/span><strong>Fatores de risco<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Os fatores que aumentam a probabilidade de emerg\u00eancia hiperglic\u00eamica s\u00e3o:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>DM tipo I com primo descompensa\u00e7\u00e3o: fator importante para se pensar em CAD<\/li>\n\n\n\n<li>M\u00e1 ader\u00eancia ao uso de insulina, uso inadequado;<\/li>\n\n\n\n<li>Infec\u00e7\u00f5es;<\/li>\n\n\n\n<li>AVC, IAM, Pancreatite;<\/li>\n\n\n\n<li>Medica\u00e7\u00f5es (cortic\u00f3ides, diur\u00e9ticos, SGLT-2);<\/li>\n\n\n\n<li>Problemas psicossociais;<\/li>\n\n\n\n<li>Uso de drogas.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-exames-necessarios-nbsp\"><span class=\"ez-toc-section\" id=\"Exames_necessarios\"><\/span><strong>Exames necess\u00e1rios&nbsp;<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Glicemia<\/li>\n\n\n\n<li>Gasometria arterial<\/li>\n\n\n\n<li>Eletr\u00f3litos<\/li>\n\n\n\n<li>Hemograma<\/li>\n\n\n\n<li>Fun\u00e7\u00e3o renal<\/li>\n\n\n\n<li>Urina&nbsp;<\/li>\n\n\n\n<li>ECG<\/li>\n\n\n\n<li>Osmolaridade s\u00e9rica (se EHH)<\/li>\n<\/ul>\n\n\n\n<p>Se inconclusiva a causa da descompensa\u00e7\u00e3o: outros exames.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.grupomedcof.com.br\/cofletters\/\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"366\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Capa-Eventos-MedCof-Plus-14-1-1024x366.png\" alt=\"\" class=\"wp-image-28880\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Capa-Eventos-MedCof-Plus-14-1-1024x366.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Capa-Eventos-MedCof-Plus-14-1-300x107.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Capa-Eventos-MedCof-Plus-14-1-768x275.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Capa-Eventos-MedCof-Plus-14-1-1536x549.png 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Capa-Eventos-MedCof-Plus-14-1-2048x732.png 2048w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Capa-Eventos-MedCof-Plus-14-1-1174x420.png 1174w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Capa-Eventos-MedCof-Plus-14-1-150x54.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Capa-Eventos-MedCof-Plus-14-1-696x249.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Capa-Eventos-MedCof-Plus-14-1-1068x382.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Capa-Eventos-MedCof-Plus-14-1-1920x687.png 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-diagnostico\"><span class=\"ez-toc-section\" id=\"Diagnostico\"><\/span><strong>Diagn\u00f3stico<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-cad\"><strong>CAD<\/strong><\/h4>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"h-criterios-diagnosticos\"><strong>Crit\u00e9rios diagn\u00f3sticos:<\/strong><\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li>pH &lt; 7,3;&nbsp;<\/li>\n\n\n\n<li>Glicemia &gt; 250 mg\/dL (aten\u00e7\u00e3o com a euglicemia!)<\/li>\n\n\n\n<li>Bicarbonato &lt; 15 mEq\/L;<\/li>\n\n\n\n<li>Presen\u00e7a de cetonemia e\/ou ceton\u00faria;<\/li>\n<\/ul>\n\n\n\n<p>Em geral, observa-se acidose metab\u00f3lica com \u00e2nion-gap aumentado.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-ehh\"><strong>EHH<\/strong><\/h4>\n\n\n\n<p>Normalmente, h\u00e1 aus\u00eancia de acidose, ou presen\u00e7a leve;<\/p>\n\n\n\n<p><strong>Crit\u00e9rios diagn\u00f3sticos:&nbsp;<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Glicemia &gt; 600 mg\/dL;&nbsp;<\/li>\n\n\n\n<li>Osmolaridade &gt; 320 mOsm\/L;&nbsp;<\/li>\n\n\n\n<li>Bicarbonato &gt; 15 mEq\/L;&nbsp;<\/li>\n\n\n\n<li>Sem cetonas, ou presen\u00e7a discreta;&nbsp;<\/li>\n\n\n\n<li>Altera\u00e7\u00f5es neurol\u00f3gicas.<\/li>\n<\/ul>\n\n\n\n<p><strong>Caracter\u00edsticas laboratoriais t\u00edpicas de pacientes com cetoacidose diab\u00e9tica e estado hiperosmolar hiperglic\u00eamico<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXcUKJ-94GbFYtt-OZdJWrn7q_cEszZWDJ2VY7SYPoqIHSx-oREXFf9L7QxNVsJcb7FkGlRH8Malxxpp53ZQwoqfqkO0YYBuLJ7uBPWCY0gscaVF1HZNSuPvnPTzAU11qBYEjFa06NPlShKuzoivVhFv4It-?key=Gqha__AnT5opRymy5zaOVg\" alt=\"\"\/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-questoes-sobre-tratamento-de-hiperglicemia-hospitalar\"><span class=\"ez-toc-section\" id=\"Questoes_sobre_tratamento_de_hiperglicemia_hospitalar\"><\/span><strong>Quest\u00f5es sobre tratamento de hiperglicemia hospitalar<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><strong>1) R+ Cl\u00ednica &#8211; USP-SP, 2021<\/strong><\/p>\n\n\n\n<p>Mulher de 60 anos, diab\u00e9tica h\u00e1 10 anos, est\u00e1 internada h\u00e1 tr\u00eas dias por coma hiperosmolar, desencadeado por infec\u00e7\u00e3o urin\u00e1ria. Foi hidratada, recebeu insulina regular em bomba de infus\u00e3o por dois dias e ceftriaxona. Em casa usava metformina 850 mg nas tr\u00eas refei\u00e7\u00f5es e empagliflozina, 25 mg\/dia. Hoje, est\u00e1 em uso de insulina NPH 12 U\/dia (em duas doses) e insulina regular conforme glicemia capilar pr\u00e9-refei\u00e7\u00f5es. Exames de hoje: glicemia de jejum = 120 mg\/dL, ureia = 50 mg\/dL, creatinina = 1,6 mg\/dL, pept\u00eddeo C elevado, HbA1c = 11%. Foi decidido por alta hoje, com seguimento ambulatorial.<\/p>\n\n\n\n<p><strong>O tratamento hipoglicemiante mais adequado para esta paciente \u00e9:<\/strong><\/p>\n\n\n\n<p>a) Insulina NPH e metformina.<br>b) Insulina NPH e glicazida.<br>c) Empagliflozina e metformina.<br>d) Empaglifozina e glicazida.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><\/li>\n<\/ol>\n\n\n\n<p><strong>2) R1 acesso direito &#8211; MedCof, 2022<\/strong><\/p>\n\n\n\n<p>Mulher, 64 anos, diab\u00e9tica com mau controle glic\u00eamico, hipertensa, revascularizada h\u00e1 2 anos por infarto agudo do mioc\u00e1rdio, est\u00e1 internada em Unidade de Terapia Intensiva por choque s\u00e9ptico de foco urin\u00e1rio. Em reuni\u00e3o com familiares, \u00e9 perguntado \u00e0 equipe assistente sobre o controle glic\u00eamico da paciente. <strong>Em rela\u00e7\u00e3o ao tema, \u00e9 correto afirmar:<\/strong><\/p>\n\n\n\n<p>a) N\u00e3o h\u00e1 diferen\u00e7a quanto ao controle glic\u00eamico estrito e liberal.<br>b) O controle glic\u00eamico liberal (glicemia entre 140-180mg\/dL) tem benef\u00edcio quando comparado ao controle glic\u00eamico estrito (80-110mg\/dL).<br>c) A monitoriza\u00e7\u00e3o da glic\u00eamica deve ser realizada a cada 2 horas.<br>d) \u00c9 contraindicada a administra\u00e7\u00e3o de insulina em bomba de infus\u00e3o continua nos pacientes cr\u00edticos em UTI, na aus\u00eancia de cetoacidose diab\u00e9tica ou estado hiperosmolar hiperglic\u00eamico.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><\/li>\n<\/ol>\n\n\n\n<p><strong>3) R+ Cl\u00ednica &#8211; Surce, 2021<\/strong><\/p>\n\n\n\n<p>Homem de 65 anos, diab\u00e9tico tipo 2, em uso de metformina e glibenclamida previamente ao internamento atual, \u00e9 admitido em Unidade de Terapia Intensiva devido a choque s\u00e9ptico de foco urin\u00e1rio. Encontra-se intubado, em uso de vasopressores, em dieta zero pela instabilidade hemodin\u00e2mica e com aporte de 100 gramas de glicose na hidrata\u00e7\u00e3o venosa de manuten\u00e7\u00e3o. Glicemias aferidas nas \u00faltimas 24 horas: 240mg\/dL &#8211; 310 mg\/dL &#8211; 255mg\/dL &#8211; 290mg\/dL.<strong> Qual a melhor forma de conduzir a hiperglicemia desse paciente?<\/strong><\/p>\n\n\n\n<p>a) Suspender a glicose da hidrata\u00e7\u00e3o.<br>b) Reintroduzir os hipoglicemiantes orais.<br>c) Prescrever esquema m\u00f3vel de insulinoterapia subcut\u00e2nea.<br>d) Iniciar insulina endovenosa em bomba de infus\u00e3o cont\u00ednua.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-gabarito\"><span class=\"ez-toc-section\" id=\"Gabarito\"><\/span><strong>Gabarito<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>A<\/strong><\/li>\n<\/ol>\n\n\n\n<p>Paciente com mal controle pr\u00e9vio, como HbA1c45ml\/min, devemos deixar sempre a metformina em dose m\u00e1xima.<\/p>\n\n\n\n<ol start=\"2\" class=\"wp-block-list\">\n<li><strong>B<\/strong><\/li>\n<\/ol>\n\n\n\n<p>H\u00e1 aparente diminui\u00e7\u00e3o de mortalidade no controle mais liberal de glicemia em pacientes cr\u00edticos quando comparado ao controle estrito. Al\u00e9m disso, a variabilidade dos n\u00edveis glic\u00eamicos, incluindo hipoglicemica, \u00e9 maior no grupo de controle estrito, fator associado a piores desfechos cl\u00ednicos.<\/p>\n\n\n\n<ol start=\"3\" class=\"wp-block-list\">\n<li><strong>D<\/strong><\/li>\n<\/ol>\n\n\n\n<p>Para pacientes em UTI, deve-se iniciar a insulina endovenosa (EV) quando a glicemia apresenta valores acima de 180 mg\/dl.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-conteudos-gratuitos-no-youtube\"><span class=\"ez-toc-section\" id=\"Conteudos_gratuitos_no_youtube\"><\/span><strong>Conte\u00fados gratuitos no youtube<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Para mais informa\u00e7\u00f5es sobre o assunto, confira a <a href=\"https:\/\/www.youtube.com\/watch?v=CtD3UFcpAzg\" target=\"_blank\" rel=\"noreferrer noopener\">aula ministrada pelo Dr. Yago Padovan, <\/a>M\u00e9dico Emergencista pelo HCFMUSP.<\/p>\n\n\n\n<p>Em<a href=\"https:\/\/www.youtube.com\/@GrupoMedcof\" target=\"_blank\" rel=\"noreferrer noopener\"> nosso canal do youtube <\/a>h\u00e1 in\u00fameros outros conte\u00fados, desde aulas, entrevistas com aprovados e o nosso CofExpress &#8211; aulas resumidas e focadas no que mais importa. Al\u00e9m disso, confira tamb\u00e9m o <a href=\"https:\/\/www.grupomedcof.com.br\/blog\/presenca-da-medcof-nas-aprovacoes-em-residencia-medica-no-brasil\/\" target=\"_blank\" rel=\"noreferrer noopener\">m\u00e9todo que j\u00e1 aprovou mais de 10 mil residentes por todo o pa\u00eds!<\/a><br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Quando o assunto \u00e9 emerg\u00eancias hiperglic\u00eamicas, h\u00e1 duas principais complica\u00e7\u00f5es mais graves a serem levadas em considera\u00e7\u00e3o: CAD e EHH. 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