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Chinese Archives of General Surgery(Electronic Edition) ›› 2017, Vol. 11 ›› Issue (05): 357-360. doi: 10.3877/cma.j.issn.1674-0793.2017.05.017

Special Issue:

• Review • Previous Articles    

Mechanism and countermeasurement of traumatic stress hyperglycemia

Xiangwen Wang1, Yujing Ma1, Xin Zhang1, Guohong Su1, Mancai Wang1, Youcheng Zhang1,()   

  1. 1. The Second Department of General Surgery, Lanzhou University Second Hospital, Lanzhou 730030, China
  • Received:2017-05-14 Online:2017-10-01 Published:2017-10-01
  • Contact: Youcheng Zhang
  • About author:
    Corresponding author: Zhang Youcheng, Email:

Abstract:

Stress hyperglycemia (SHG) caused by trauma is very common in clinical practice. SHG can lead to metabolic disorders, increase the risk of secondary infection after trauma, affect the body's metabolic function and cause organ damage, which seriously affects the prognosis of trauma patients and should be actively controlled. Compared with the traditional application of insulin control SHG blood glucose levels, we will discuss the potential for glucagon receptor blockers and glucagon-like peptide-1 receptor agonists to treat SHG, with the goal of less glucose variability and hypoglycaemia than with insulin.

Key words: Stress disorders, traumatic, Hyperglycemia, Receptors, glucagon, Glucagon-like peptide 1

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