Glycemic Control in the Medical Intensive Care Unit
نویسندگان
چکیده
منابع مشابه
Glycemic control in the medical intensive care unit.
Hyperglycemia in the critically ill is a well-known phenomenon, even in those without known diabetes. The stress response is due to a complex interplay between counter-regulatory hormones, cytokines, and changes in insulin sensitivity. Illness/infection, overfeeding, medications (e.g., corticosteroids), insufficient insulin, and/or volume depletion can be additional contributors. Acute hypergly...
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INTRODUCTION Stress-induced hyperglycemia increases morbidity and mortality. Tight control can reduce mortality but has proven difficult to achieve. The SPRINT (Specialized Relative Insulin and Nutrition Tables) protocol is the only protocol that reduced both mortality and hypoglycemia by modulating both insulin and nutrition, but it has not been tested in independent hospitals. METHODS SPRIN...
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B OTH critical illness and postoperative status are associated with so-called stress-induced hyperglycemia, defined as transient hyperglycemia during illness in patients without previous evidence of diabetes mellitus. The relationship between stress hyperglycemia and poor outcome is largely established for both conditions. In 2001, a large randomized controlled trial (RCT) in critically ill sur...
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Nosocomial infections are common in many hospital departments, but particularly so on the intensive care unit, where they affect some 20 to 30% of patients. While early diagnosis and appropriate treatment are, of course, important, perhaps the greatest challenge is in the application of techniques to limit the development of such infections. This review will briefly discuss some of the backgrou...
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ژورنال
عنوان ژورنال: Journal of Diabetes Science and Technology
سال: 2009
ISSN: 1932-2968,1932-2968
DOI: 10.1177/193229680900300613