"Critical Care A Day"
Q: Which of the following is the risk factor for Contrast Induced Nephropathy (CIN)
The important point to remember is that hyperglycemia increases the risk of CIN independent of a diagnosis of diabetes mellitus (DM) in a proportionally incremental manner! The mechanism for this independent risk from hyperglycemia without any association with DM is not fully understood but probably associated with the osmotic effect of glucose.
Stolker JM, McCullough PA, Rao S, et al. Pre-procedural glucose levels and the risk for contrast-induced acute kidney injury in patients undergoing coronary angiography. J Am Coll Cardiol 2010; 55:1433.