THE STRESS HYPERGLYCEMIA, FROM CLAUDE BERNARD TO NICE-SUGAR, A MOVING TARGET

We know that glycemic control deteriorates significantly during the hospitalization of a patient with diabetes mellitus (DM). Hyperglycemia contributes factors such as stress, both psychic and physical, concomitant treatments, decreased physical activity, enteral or parenteral nutrition, medications such as corticosteroids and the fear of hypoglycemia by the doctor, while hypoglycaemia factors such as decrease in caloric intake, gastrointestinal diseases, errors in medication and cognitive alterations1.Although there may also be increased blood glucose in patients without prior DM; this hyperglycemia caused by diseases is called stress hyperglycemia.