Stress hyperglycemia: discussion of ways to eliminate it with the help of sugar alcohols

The literature review considers the prospect of resuming active use of sugar alcohols in the practice of intensive care. The information is focused on the characteristics of the metabolism and the expected effects of sugar five-carbon alcohol xylitol. The feasibility of using xylitol solutions is justified by reducing the risk of hyperglycemia, the need for insulin administration, and at the same time, reducing the risk of hypoglycemic states and preventing the development of Warburg effect.
Keywords: sugar alcohols; xylitol; hyperglycemia; excess insulin; hypoglycemia; insulin resistance; cellular energy production; Warburg effect; review