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. 2021 Sep 13;11(9):1667. doi: 10.3390/diagnostics11091667

Figure 2.

Figure 2

Rising blood glucose levels in parallel to severity of liver injury with lowest blood glucose levels in patients with most severe liver injury (AAST V). Outliers of high blood glucose levels in less severe injuries (AAST I–III) were found in patients with diabetes mellitus disease or severe co-injuries (AIS 4–6) (a–c). In patients without severe co-injuries and without diabetes mellitus (d), the effect of injury severity and hemorrhage on blood glucose levels was demonstrated, meaning the greater the severity of injury and the hemorrhage extent, the higher the stress hyperglycemia. In patients with most severe liver injury (AAST V), stress hyperglycemia is absent. AAST: American Association for the Surgery of Trauma [27,28]; AIS: Abbreviated Injury Scale [43].