Glycemic control in acute illness

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Glycemic control in acute illness

Hyperglycemia is commonly observed in critical illness. A landmark large randomized controlled trial (RCT) reported that the incidence of hyperglycemia (blood glucose concentration > 108 mg/dl) was as high as 97.2% in critically ill patients. During the past two decades, a number of RCTs and several meta-analyses and network meta-analyses have been conducted to determine the optimal target for ...

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Effect of Education Based on Illness Perception on Glycemic Control in Diabetic Patients

Introduction: Prevention of complications associated with diabetes, besides the reduction of mortality and economic costs, are the most important goals of diabetes management. To achieve these goals, glycemic control, which requires education, is essential. Patients adhere to recommendations and guidelines when they have a clear understanding and perception of their disease. The current study a...

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Glycemic control and insulin therapy in sepsis and critical illness.

OBJECTIVE To review the literature about the pathophysiology of hyperglycemia and glycemic control in children and adults with sepsis and critical illness. SOURCES Non-systematic survey of the medical literature using MEDLINE and terms hyperglycemia, glycemic control, intensive insulin therapy, sepsis and intensive care. Articles were selected according to their relevance based on the authors...

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Glycemic control and critical illness: is the kidney involved?

The pathophysiology, consequences, and management of hyperglycemia during critical illness is an important clinical issue. Uncontrolled hyperglycemia in this setting is associated with a variety of adverse events, including mortality. The kidneys have a major role in glucose and insulin metabolism, and emerging evidence suggests that they both are actively involved in the development, maintenan...

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Insulin for glycemic control in acute ischemic stroke.

Evidence-Based Answer Administering insulin to maintain glycemic control does not improve the rates of mortality or dependency, or the final neurologic outcome after an acute ischemic stroke. Additionally, in randomized controlled trials, patients in the intervention groups (those under tight glycemic control) had a 25-fold higher incidence of symptomatic hypoglycemia. (Strength of Recommendati...

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ژورنال

عنوان ژورنال: Korean Journal of Anesthesiology

سال: 2017

ISSN: 2005-6419,2005-7563

DOI: 10.4097/kjae.2017.70.6.591