Achieving glycemic control with intensive insulin therapy in the ICU
نویسندگان
چکیده
منابع مشابه
Intensive insulin therapy in the medical ICU.
BACKGROUND Intensive insulin therapy reduces morbidity and mortality in patients in surgical intensive care units (ICUs), but its role in patients in medical ICUs is unknown. METHODS In a prospective, randomized, controlled study of adult patients admitted to our medical ICU, we studied patients who were considered to need intensive care for at least three days. On admission, patients were ra...
متن کاملInsulin Therapy for Intensive Glycemic Control in Hospital Patients
served in patients admitted to the hospital. An estimated 13 million Americans have a known diagnosis of diabetes, with type 2 diabetes accounting for 90% to 95% of all diagnosed cases. An additional 5.2 million Americans have diabetes but are unaware of their condition.1 The rising prevalence of diabetes is leading to an increasing number of hospital admissions for the management of cardiovasc...
متن کاملOutcome benefit of intensive insulin therapy in the critically ill: Insulin dose versus glycemic control.
OBJECTIVES Maintenance of normoglycemia with insulin reduces mortality and morbidity of critically ill patients. Here we report the factors determining insulin requirements and the impact of insulin dose vs. blood glucose control on the observed outcome benefits. DESIGN A prospective, randomized, controlled trial. SETTING A 56-bed predominantly surgical intensive care unit in a tertiary tea...
متن کاملGlycemic Control in the ICU
From the Departments of Critical Care Medicine and Anesthesia, Hospital for Sick Children, University of Toronto, Toronto (B.P.K.); and Harvard Medical School, Harvard Vanguard Medical Associates, and Beth Israel Deaconess Medical Center — all in Boston (K.C.M.). Address reprint requests to Dr. Kavanagh at the Department of Critical Care Medicine, Hospital for Sick Children, University of Toron...
متن کاملIntensive insulin therapy in the medical ICU – not so sweet?
Intervention: On admission, patients were randomly assigned to strict normalization of blood glucose levels (80 to 110 mg per deciliter [4.4 to 6.1 mmol per liter]) with the use of insulin infusion or to conventional therapy (insulin administered when the blood glucose level exceeded 215 mg per deciliter [12 mmol per liter], with the infusion tapered when the level fell below 180 mg per decilit...
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ژورنال
عنوان ژورنال: Critical Care
سال: 2008
ISSN: 1364-8535
DOI: 10.1186/cc6380