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dc.contributor.authorShi, Fang-Hong
dc.contributor.authorShen, Long
dc.contributor.authorPan, Mang-Mang
dc.contributor.authorMa, Lin-Lin
dc.contributor.authorZhang, Chi
dc.contributor.authorGu, Zhi-Chun
dc.contributor.authorMa, Jing
dc.contributor.authorLi, Hao
dc.date.accessioned2020-09-11T05:26:47Z
dc.date.available2020-09-11T05:26:47Z
dc.date.issued2020
dc.identifier.issn1663-9812
dc.identifier.doi10.3389/fphar.2020.00756
dc.identifier.urihttp://hdl.handle.net/10072/397405
dc.description.abstractDiabetes is a major cause of cardiovascular mortality in most countries. Intensive management of blood glucose is pivotal for alleviating disease progress and minimizing cardiovascular complications. In this study, we report a case of successful control of high blood glucose in a diabetes patient with acute coronary syndromes (ACS), hypertension, and renal insufficiency. This patient had five years of diabetes history and was hospitalized through an ACS emergency. Coronary angiography showed an acute anterior myocardial infarction (Killip Level I). The patient had extremely high blood glucose that ranged from 19.4 to 28.2 mmol/L on the first day in the hospital and experienced significant blood glucose fluctuations in the following three days. After two rounds of clinical pharmacist consultation, the patient's fasting blood glucose (FBG) target was achieved on the seventh day of his hospitalization and was well controlled afterward. The patient's postprandial blood glucose (PBG) target was achieved on the ninth day of hospitalization, and he was discharged when his blood glucose was well controlled and cardiac function had been fully assessed. Hence, we summarize a protocol that could be used to quickly adjust high blood glucose in hospitalized patients and report a new blood glucose management model coordinated by clinical pharmacists and clinicians.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherFrontiers Media SA
dc.relation.ispartofpagefrom756
dc.relation.ispartofjournalFrontiers in Pharmacology
dc.relation.ispartofvolume11
dc.subject.fieldofresearchPharmacology and pharmaceutical sciences
dc.subject.fieldofresearchcode3214
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsPharmacology & Pharmacy
dc.subject.keywordsblood glucose management
dc.subject.keywordsacute coronary syndromes
dc.titleThe Successful Rapid Adjustment of Blood Glucose in a Patient With Acute Coronary Syndrome, Renal Insufficiency, and Diabetes: A Case Report of Management Coordinated by Clinical Pharmacists and Clinicians
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationShi, F-H; Shen, L; Pan, M-M; Ma, L-L; Zhang, C; Gu, Z-C; Ma, J; Li, H, The Successful Rapid Adjustment of Blood Glucose in a Patient With Acute Coronary Syndrome, Renal Insufficiency, and Diabetes: A Case Report of Management Coordinated by Clinical Pharmacists and Clinicians, Frontiers in Pharmacology, 2020, 11, pp. 756
dcterms.dateAccepted2020-05-06
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.date.updated2020-09-11T05:24:40Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© 2020 Shi, Shen, Pan, Ma, Zhang, Gu, Ma and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
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gro.griffith.authorMa, Linlin


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