Hyperglycemia Clinical Trial
Official title:
Prevention of Stress Hyperglycemia With the Use of DPP-4 Inhibitors in Non-diabetic Patients Undergoing Non-cardiac Surgery, a Pilot Study
The purpose of this study is to compare sitagliptin with a placebo for the prevention of high glucose after general surgery.
Approximately 30-40% of hospitalized patients will develop stress hyperglycemia (high glucose
in response to surgery or illness). High glucose is linked to an increased risk of hospital
complications including wound infection, kidney failure and death. Patients with high glucose
are treated with insulin given through an arm vein or by frequent insulin injections under
the skin. Recent studies have found that inpatient therapy with oral dipeptidyl peptidase-4
inhibitor (DPP4-I) is an effective alternative to insulin in improving glycemic control with
low risk of hypoglycemia in general medicine and surgical patients.
Sitagliptin is an oral medication approved by the Food and Drug Administration (FDA) to treat
patients with diabetes. The aim of this study is to determine whether treatment with
sitagliptin once daily can prevent the development of stress hyperglycemia during the
postoperative period in non-diabetic patients undergoing general surgery.
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