Zhang KX, Kan CX, Sun XD. Balancing act: The dilemma of rapid hyperglycemia correction in diabetes management. World J Diabetes 2024; 15(2): 129-132 [PMID: 38464368 DOI: 10.4239/wjd.v15.i2.129]
Corresponding Author of This Article
Xiao-Dong Sun, PhD, Chief Physician, Department of Endocrinology and Metabolism, Affiliated Hospital of Weifang Medical University, No. 2428 Yuhe Road, Weifang 261031, Shandong Province, China. xiaodong.sun@wfmc.edu.cn
Research Domain of This Article
Endocrinology & Metabolism
Article-Type of This Article
Editorial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Diabetes. Feb 15, 2024; 15(2): 129-132 Published online Feb 15, 2024. doi: 10.4239/wjd.v15.i2.129
Balancing act: The dilemma of rapid hyperglycemia correction in diabetes management
Ke-Xin Zhang, Cheng-Xia Kan, Xiao-Dong Sun
Ke-Xin Zhang, Cheng-Xia Kan, Xiao-Dong Sun, Department of Endocrinology and Metabolism, Affiliated Hospital of Weifang Medical University, Weifang 261031, Shandong Province, China
Author contributions: All the authors contributed to this paper with conception and design of the study, literature review and analysis, drafting and critical revision and editing, and final approval of the final version.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Dong Sun, PhD, Chief Physician, Department of Endocrinology and Metabolism, Affiliated Hospital of Weifang Medical University, No. 2428 Yuhe Road, Weifang 261031, Shandong Province, China. xiaodong.sun@wfmc.edu.cn
Received: October 23, 2023 Peer-review started: October 23, 2023 First decision: December 8, 2023 Revised: December 9, 2023 Accepted: January 12, 2024 Article in press: January 12, 2024 Published online: February 15, 2024
Abstract
The global diabetes surge poses a critical public health challenge, emphasizing the need for effective glycemic control. However, rapid correction of chronic hyperglycemia can unexpectedly trigger microvascular complications, necessitating a reevaluation of the speed and intensity of glycemic correction. Theories suggest swift blood sugar reductions may cause inflammation, oxidative stress, and neurovascular changes, resulting in complications. Healthcare providers should cautiously approach aggressive glycemic control, especially in long-standing, poorly controlled diabetes. Preventing and managing these complications requires a personalized, comprehensive approach with education, monitoring, and interdisciplinary care. Diabetes management must balance short and long-term goals, prioritizing overall well-being. This editorial underscores the need for a personalized, nuanced approach, focusing on equilibrium between glycemic control and avoiding overcorrection.
Core Tip: Rapid glycemia corrections may unexpectedly lead to microvascular complications in diabetes. Balancing glycemic control is crucial in diabetes management. Prioritizing an individualized, comprehensive care approach is essential to ensure long-term well-being.
