Research Article | DOI: https://doi.org/10.31579/2690-4861/1071
1Head of the Department of Internal Medicine - San José Hospital in Bogotá. of the program of the specialization in medicine internal and teacher Title of University Foundation of Health Sciences.
2Resident of third year Medicine Internal Foundation University of Health Sciences. San José Hospital in Bogotá.
3Second-year resident in Internal Medicine, University Foundation of Health Sciences. San José Hospital of Bogotá.
*Corresponding Author: Walter Chaves Santiago, Head of the Department of Internal Medicine - San José Hospital in Bogotá. of the program of the specialization in medicine internal and teacher Title of University Foundation of Health Sciences.
Citation: Walter C. Santiago, Dark Castillejo JM, Caro Echeverri AD, (2026), Hyperglycemia in he patient hospitalized; as act?. Decisions clinics based on complex Cases, International Journal of Clinical Case Reports and Reviews, 36(2); DOI:10.31579/2690-4861/1071
Copyright: © 2026, Walter Chaves Santiago. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Received: 18 March 2026 | Accepted: 25 May 2026 | Published: 02 June 2026
Keywords: Type 2 diabetes mellitus; hyperglycemia; pathophysiology; hospitalization; hypoglycemia; pharmacology; corticosteroids; glibenclamide; insulins, hypoglycemia
Type 2 diabetes mellitus (T2DM) is a frequent comorbidity in hospitalized patients, and its management requires an individualized approach. article presents a series of cases clinical complex that illustrate the therapeutic approach to hyperglycemia in different hospital settings. In each case HE they analyze the implications The pathophysiological processes, associated risks, and recommended pharmacological strategies according to the 2025 ADA guidelines and the most recent evidence are discussed. The importance of avoiding hypoglycemia, adjusting insulin regimens, and selecting drugs with proven cardiovascular and renal benefits is also addressed.
Hospitalization of patients with type 2 diabetes offers an opportunity to optimize glycemic treatment and reassess risks, comorbidities, and treatment regimens. therapeutic. He around hospitable is dynamic and complex, This necessitates rapid but well-founded therapeutic decisions, especially when hyperglycemia coexists with other critical conditions. [24]. The hyperglycemia hospital No only worsens he forecast, but that HE ha associated with elderly mortality, infections nosocomial infections, prolonged stay, and cardiovascular complications. [25,26]
Glycemic control should prioritize safety, avoiding hypoglycemia, especially in frail or polymedicated patients. Treatment selection should consider the extra-pancreatic benefits of newer antidiabetic drugs, such as GLP- 1 analogues and SGLT2 inhibitors, which have been shown to improve cardiovascular and renal outcomes, even beyond glycemic control. [1,2]
Clinical situations such as steroid use, enteral or parenteral nutrition, acute coronary syndromes, or advanced kidney disease require therapeutic decisions that go beyond the conventional algorithm. This article presents a series of representative clinical cases. of these scenarios, directed to professionals of health with training clinic, with he aim of integrate the pathophysiology, the pharmacological evidence and personalized decision-making in the hospital setting.
According to the American Diabetes Association (ADA) and the American Association of Clinical Endocrinologists (AACE), hyperglycemia in patients hospitalized HE define as a concentration of glucose In blood ≥140 mg/dl, once this alteration is documented, hbA1c (glycated hemoglobin) should be measured to differentiate stress-induced hyperglycemia vs. de novo diagnosis of diabetes mellitus [4].
Glycemic targets may vary according to clinical conditions and the recommendations of different guidelines. According to the ADA for hospitalized patients critics and No, he aim glycemic is of 100 – 180 mg/dl, In patients with terminal illnesses, acceptable values are suggested >250 mg/dl. [3]
Previously, it was thought that with stricter glycemic control, could impact in outcomes clinical as the mortality, without embargo by half of studies as he NICE SUGAR HE demonstrated that he control stricter blood glucose (81-108 mg/dl) is associated with a higher mortality rate after of 90 days and increase in he risk of hypoglycemia. [27]
HE performed the description of 4 cases clinical taken of the life real with the objective of illustrating the approach and The treatment of hyperglycemia in hospitalized patients, individualizing each case according to pre-existing conditions and taking into account the therapeutic challenges that arise throughout hospitalization
Terms of search
To guide each search, keywords were used, initially searched in the Health Sciences Descriptors (DeCS) and then in The terms were Medical Subject Headings (MeSH terms). DeCS terms were used for searches in ClinicalKey and LILACS, while MeSH terms were used in Medline and Embase.
Criteria of selection
Inside of the criteria of selection of the articles, HE included primary studies and those with secondary evidence of the review type (both systematic as narrative). The search HE limited to publications of the last 30 years (1994 to 2024). No language restrictions were imposed. The selected articles were downloaded for reading They were completed and discussed with the main course author to assess their quality before being included as bibliographic references.
Results And Discussion
Revision Of Cases Clinicians
Case Clinical 1
A 63-year-old female patient with a 10-year history of type 2 diabetes; treated on an outpatient basis with metformin 1000 mg/day. We have with HbA1c of the last 3 months: 6.8 %. Enter by exacerbation of COPD, beginning treatment with prednisolone 40 mg VO each 24 hours. On the third day of hospitalization, she presents with persistent hyperglycemia (fasting 160–180 mg/dL, postprandial up to 260 mg/dL). She has not used insulin previously. Her vital signs are stable, with an eGFR of 65 ml/min and an albumin/creatinine ratio of 1000 g/mg.
Perspective:
Glucocorticoids are a common cause of hyperglycemia in the hospital setting. In patients with type 2 diabetes, the use of steroids such as prednisolone power the endurance to the insulin; causing Postprandial and evening hyperglycemia (6). This pathophysiological phenomenon involves adaptations therapeutic specific, mostly based in intermediate-acting insulin (NPH), adjusted to the action profile of the steroid used (6,7,19).
Mechanism :
The prednisolone exercises his effect maximum between 4 and 8 hours after Its administration generates predominantly postprandial and evening hyperglycemia [5, 6]. Its action induces peripheral insulin resistance and increased hepatic gluconeogenesis [5].
Strategy recommended therapy
Patient with stage 2/A3 diabetic kidney disease who, in the presence of significant proteinuria, benefits from initiating treatment with ACE inhibitors/ARBs and statins. and ISLGT2 as measures to promote regression of albuminuria (8,19). At the metabolic level, given that there is no acute infectious process and we have a favorable glomerular filtration rate (greater-than sign 45 ml/min/1.72m 2 ) we can give continuity to management with biguanide [5].
Initiation of insulin therapy: given exacerbation of pulmonary pathology there is a need of management with lows of glucocorticoid (Figure 1) with Subsequent alteration in metabolic homeostasis related to out-of-target blood glucose levels necessitates adjustment of pharmacological therapy until the resolution of the Pulmonary exacerbation and cessation of the described treatment. Prednisolone is an intermediate-acting glucocorticoid that generally affects postprandial blood glucose. In patients without prior use of insulins HE recommends the following options of management [5]:
Option 1 : NPH insulin, dose: 0.3–0.5 IU per each mg of DEP (prednisolone equivalent dose) (0.3 – 0.5 x 40mg). For our patient, the following is calculated with the dose provided of prednisolone, in case of If the patient is already taking another corticosteroid, the equivalent dose of prednisone should be calculated. [5,6]
Example: Prednisolone 40 mg ≈ 12–20 IU of NPH, administer together with the corticosteroid [1,2].
Option 2 : The corticosteroid dose can be adjusted according to a known history of type 2 diabetes or in patients without a history of type 2 diabetes. as indicated in the (Figure 1). Start with 10–20 IU NPH/day and titrate according to blood glucose levels [5,6].
Figure 1, taken from Gianchandani R, Wei M, Demidowich A. Management of Hyperglycemia in Hospitalized Patients. Ann Intern Med. 2024.
Correction with insulin quick (lispro/aspart): in case of persistence In cases of postprandial hyperglycemia, an additional dose of insulin should be added accordingly. to the scheme corrective (Figure 2) in case of GB (blood glucose) basal) greater-than sign 180 mg/dL (5); the intensity should be adapted to individual sensitivity and TDD (total daily dose) [5]. (Figure 2)
In the event that the patient already has a diagnosis of type 2 diabetes mellitus being managed by means of a basal-bolus regimen and presents induced hyperglycemia by glucocorticoid, HE prefers adjust he treatment increasing the preprandial proportion to 60–70% of the DDT, decreasing the amount of basal insulin, however, if there is persistence of hyperglycemia we can increase the preprandial dose by 50%; without modifying the basal dose [5].
Glycemic monitoring: through pre-, postprandial and nightly (10 pm) blood glucose levels; the response will be evaluated every 24–48 hours, according to records HE will be able to adjust the NPH in ±2 UI according to trend [5,6].
Discussion In patients hospitalized with DM2 exposed to steroids, hyperglycemia requires a management insulinic adapted to the guy, dose and glucocorticoid timing. Morning NPH is the agent of choice when ... use steroids intermediate as prednisolone either methylprednisolone in single daily doses [6].
Studies such as those by Stone et al. and Grommesh et al. have shown that NPH-based regimens are effective in controlling steroid-induced hyperglycemia, with a low risk of hypoglycemia if properly adjusted [6].
The ADA and Endocrine Society recommend initiating treatment when blood glucose levels exceed 180 mg/dL on more than two occasions in 24 hours (2, 20), and define goals between 100–140 mg/dl in fast and Less-than sign 180 mg/dl postprandial [7].
A 72-year-old man with a history of recent cerebrovascular disease presented with dysarthria and persistent dysphagia, unable to feed orally. Comorbidities: Type 2 diabetes for 15 years, with an HbA1c of 8.3%. He initiated continuous enteral nutritional support with a standard formula at a rate of 75 ml/hour (1800 kcal/day). He was receiving metformin and glimepiride prior to admission. Blood glucose levels were elevated from the first day greater-than sign 220 mg/dL), with no prior insulin treatment.
Perspective
The prevalence of hyperglycemia in patients with and without diabetes that receive enteral nutrition (NE) is of approximately he 30 % (1). The formulas standard for NE
They have a caloric distribution similar to an oral diet, with 45% to 60?rbohydrates, 20% to 35?ts, and 10% to 20% proteins (1). Specific formulas for diabetes tend to have minor content of carbohydrates and larger quantity of fat and fiber. Although some studies they have demonstrated that They lower fasting glucose levels, but current clinical guidelines do not recommend them over standard formulas [1].
Mechanism pathophysiological
Since patients receiving continuous enteral nutrition are in a constant postprandial state, glucose targets above [value missing] are considered appropriate. of 140 mg/dl for reduce he risk of hypoglycemia [1]. In In these patients, regimens that cover basal, pre-meal, and correction needs achieve superior glycemic control compared to the exclusive use of corrective insulin [1].
Strategy recommended therapy
The use of oral antidiabetic agents is not recommended in hospitalized patients with continuous enteral nutrition, given their potential risk of hypoglycemia, interactions, and unpredictable pharmacokinetics [2]. Sulfonylureas such as glimepiride should be discontinued immediately due to their high hypoglycemic risk. and the metformin has to discontinue by he risk of lactic acidosis in the presence of sepsis or renal dysfunction (2,21,22).
Insulin therapy: Different schemes adaptable to the continuous postprandial state generated by NE (1)
Monitoring glycemic: All these regimens should be accompanied by a correction scale and capillary monitoring every 4–6 hours (1,2). If nutrition is interrupted for more than one hour, a dextrose infusion should be started. to the 10 % Yeah the blood glucose is <180>
Discussion: Continuous enteral nutrition (EN) generates a constant glucose stimulus, simulating a sustained postprandial state. This justifies the use of specific regimens. insulins further stable, as he basal-bolus either the Fractionated NPH insulin [5, 15, 16]. The choice depends on the clinical team's experience, the stability of the nutrition, the risk of hypoglycemia, and the possibility of monitoring [5]. NPH insulin has the advantage of allowing more frequent adjustments in patients at risk of discontinuing nutritional support [15]. Basal insulin, such as glargine or degludec, provides greater stability when enteral support is continuous and reliable. In all the cases, is essential count with a scheme correcting and with a strategy preventive in view of suspensions unforeseen aspects of the formula.
A 66-year-old male, hypertensive, dyslipidemic, and with type 2 diabetes mellitus of 12 years' duration, was admitted for ST-segment elevation myocardial infarction (STEMI) treated with percutaneous coronary intervention (PCI) and placement of a drug-eluting stent. His HbA1c on admission was 7.4%. He was on outpatient treatment with metformin 1000 mg/day and glimepiride 2 mg/day. He had ambulatory continuous glucose monitoring (CGM) with evidence of hypoglycemia. recurring between the 2 and 5 A.M, in time in range (70–180 mg/dL) of 65% and 12% of the time below 70 mg/dL. Renal function was normal (creatinine 1.0 mg/dL, GFR 82 ml/min).
Perspective:
The coexistence of type 2 diabetes mellitus (T2DM) and atherosclerotic cardiovascular disease (CVD) represents a combination associated with high morbidity and mortality. T2DM triples the risk of cardiovascular events, and these patients present elderly mortality after heart attack sharp myocardial infarction (MI), heart failure, and stroke [3,10]. Glycemic control should be individualized, prioritizing cardiovascular safety, prevention of hypoglycemia, and the selection of antidiabetic agents with proven benefit in major cardiovascular events. (MACE) [1,2,9,10].
Pathophysiological and prognostic considerations:
The hypoglycemia HE associates with arrhythmias ventricular, extension of the QT and sudden death, especially in the context of AMI [3,9,10].
Strategy Recommended therapy :
Board 1. Scheme corrective of insulin
Scheme corrective of insulin | |||
Lowintensity |
Moderate intensity |
Highintensity | |
| Level of | |||
DDT 40–80 units/day
| |||
| blood glucose (mg/dL) | DDT <40units>
|
DDT >80 | |
| in hemodialysis | units/day | ||
|
| ||
| insulin | ||
|
| ||
| steroids | ||
| insulin (insulin-naive) | |||
70 – 150 |
0 units |
0 units |
0 units |
151 – 200 |
0 units |
2 units |
3 units |
201 – 250 |
2 units |
4 units |
6 units |
251 – 300 |
3 units |
6 units |
9 units |
301 – 350 |
4 units |
8 units |
12 units |
> 350 |
5 units |
10 units |
15 units |
Table 1, taken from Gianchandani R, Wei M, Demidowich A. Management of Hyperglycemia in Hospitalized Patients. Ann Intern Med. 2024.
Monitoring: This should be performed with pre- and post-meal blood glucose testing for 72 hours post-MI. Continue monitoring during hospital stay. surveillance of parameters metabolic and function renal for prior to discharge, define the best outpatient strategy[3].
The EMPA-REG (1), LEADER (2) and SUSTAIN-6 clinical trials have established that some agents antidiabetic drugs No only control the blood glucose but which also modify he risk cardiovascular, being now first line in patients with type 2 diabetes and established cardiovascular disease. Sulfonylureas, despite their hypoglycemic efficacy, are associated with a higher risk of hypoglycemia and adverse cardiovascular events, especially in elderly patients or those with recent myocardial infarction [4].
The ADA 2025 and ESC/EASD categorically recommend initiating empagliflozin, dapagliflozin, liraglutide either semaglutide in patients GLP- 1 RAs (GLP-1 receptor agonists) are ideal for patients with type 2 diabetes and cardiovascular disease, regardless of baseline glycemic
control, due to their impact on cardiovascular and renal outcomes [3]. atherosclerosis established and in our case described is feasible in view of his low risk of hypoglycemia. With regard to the The ideal timing for starting the ADA 2024/2025 guidelines allows Consider initiating GLP- 1 RA at two points in time; 1. During hospitalization, especially before discharge; in hemodynamically stable patients without significant nausea neither intolerance oral[ADA 2025, Standards of Care, section 13.6 2.] Immediately after discharge in combination with structured education. There is evidence of reduction of the 14 % of MACE, 13 % of death cardiovascular and 11 % of hospitalization by failure cardiac with benefit additional in weight loss, blood pressure control, and inflammation reduction; all aspects relevant in he patient post heart attack [11,12,13,14].
Figure 2 shows a scheme with the respective titration of hypoglycemic agents according to he level of HbA1c and the comorbidities associated with the diabetic patient in order to best optimize the additional benefits of pharmacotherapy.
Figure 2. Use of hypoglycemic medications in type 2 diabetes. Source: Pharmacologic Approaches to Glycemic Treatment: Standards of Care in Diabetes—2025. Diabetes Care , 2025, vol. 48, no Supplement 1, p. S181-S206.
A 70-year-old woman with type 2 diabetes of 18 years' duration, on outpatient treatment with insulin glargine 28 IU/day and glibenclamide 5 mg/day, presents background of hypoglycemia symptomatic nighttime.
Laboratory results: creatinine 2.1 mg/dL, eGFR 22 mL/min/1.73 m², HbA1c: 6.6%. Diagnosis of stage 4 CKD secondary to diabetic kidney disease. No Catabolic symptoms are documented. The patient is hospitalized for a complicated urinary tract infection without criteria for sepsis.
Perspective :
Type 2 diabetes mellitus (T2DM) is the leading cause of chronic kidney disease (ERC) to level world [19, 20]. TO extent that progresses he deterioration of the glomerular filtration rate (GFR), increases the risk of hypoglycemia due to reduced insulin clearance and impaired glucose tolerance. metabolism of medications hypoglycemic agents. The strategy Therapy should prioritize safety, avoid drugs with a high risk of hypoglycemia, and ensure cardiovascular and renal benefits. Individualization is key, especially in frail patients or those in advanced stages of CKD [19, 20].
Managing type 2 diabetes in advanced chronic kidney disease requires a balance between glycemic efficacy and safety [19, 20]. Insulin use should be cautious; starting with reduced doses (0.1–0.2 IU/kg) and slow titrations are recommended [3, 16, 17]. Continued use of sulfonylureas such as glibenclamide in these patients may be problematic. patients increases significantly he risk of hypoglycemia severe and hospitalizations, therefore its use is not recommended in GFR Less-than sign 60 ml/min, especially glibenclamide and glimepiride [21, 22].
Semaglutide, a once-weekly GLP- 1 receptor agonist, has demonstrated both glycemic and renal benefits, with a reduction in major renal events (FLOW trial) and no need for renal function adjustment [23]. Furthermore, it allows for the reduction Progressive safe basal insulin therapy. In patients requiring injectable therapy, initiation of therapy is suggested. with GLP- 1 RA and/or GIP (glucose-dependent insulinotropic polypeptide) before initiating insulin therapy. If HbA1c remains outside target range 3 months after initiating therapy, an adjustment of injectable therapy will be indicated according to the recommendations of the latest ADA 2025 guidelines (Figure 3).
Analysis and Management Plan Considerations clinics relevant:
The glibenclamide has metabolites assets and HE eliminates by via renal by which is contraindicated with GFR Less-than sign 60 ml/min [21].
Exogenous insulin has a prolonged half-life in advanced CKD, with a higher risk of hypoglycemia, especially nocturnal [16, 19].
He patient has a HbA1c in goals without embargo presents episodes of hypoglycemia; it which evidence intensification therapy of the insulin ,that as HE argued previously increases he risk of mortality .
Interventions proposals:
1.Suspension immediate of glibenclamide.
2.Reduction of dose of insulin of action prolonged in 50 % (of 28 IU → 14 IU/day), with daily reassessment [5].
3.Introduction of agonist of GLP- 1 (semaglutide) SC weekly):
4.Monitoring capillary pre and postprandial, with aim of blood glucose levels in the range 100–180 mg/dL.
5.Avoid metformin, sulfonylureas, and SGLT2i in this stadium of ERC, except for nephroprotective indications under close supervision. (18,20, 21, 22)
Figure 3: Use of hypoglycemic medications in type 2 diabetes. Source: Pharmacologic Approaches to Glycemic Treatment: Standards of Care in Diabetes—2025. Diabetes Care , 2025, vol. 48, no Supplement 1, p. S181-S206.
The management of hyperglycemia in hospitalized patients with type 2 diabetes should be individualized, dynamic, and focused on clinical safety. The presence of diseases concomitant and of their comorbidities, he state metabolic basal, he reason of hospitalization and the risk of hypoglycemia are determining factors for therapeutic selection . The revision based in cases clinical allows No only translate the evidence in practical decisions, but also to identify common errors in the hospital management of diabetes, such as the omission of corrective scales or the persistence of hypoglycemic agents in changing clinical contexts.
Likewise, the cases also highlight the importance of reconciliation the treatment previous to the exit hospitable, adjusting the therapy of agreement with the clinical status, the function renal and the possibility of adhesion. Of Similarly, it illustrates the need to integrate clinical judgment with the best available evidence Finally, the approach proposed in these cases - based on ADA 2025 guidelines, high-level clinical trials and pathophysiological analysis - contributes to building safe, individualized decision algorithms with real prognostic impact in the hospitalized diabetic population.
None
Statement Of Conflict of Interest
All the researchers we declare No have none conflict of interest
Statement Of Financing of The Project
The present revision No received financing
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Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.
Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.
Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.
Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.
Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
