Open AccessGlucose control in critical care
Author(s) -
Jeremy M. Clain,
Kannan Ramar,
Salim Surani
Publication year - 2015
Publication title -
world journal of diabetes
Language(s) - Uncategorized
Resource type - Journals
ISSN - 1948-9358
DOI - 10.4239/wjd.v6.i9.1082
Subject(s) - glycemic , medicine , critically ill , intensive care medicine , intensive care , diabetes mellitus , critical illness , endocrinology
Glycemic control among critically-ill patients has been a topic of considerable attention for the past 15 years. An initial focus on the potentially deleterious effects of hyperglycemia led to a series of investigations regarding intensive insulin therapy strategies that targeted tight glycemic control. As knowledge accumulated, the pursuit of tight glycemic control among critically-ill patients came to be seen as counterproductive, and moderate glycemic control came to dominate as the standard practice in intensive care units. In recent years, there has been increased focus on the importance of hypoglycemic episodes, glycemic variability, and premorbid diabetic status as factors that contribute to outcomes among critically-ill patients. This review provides a survey of key studies on glucose control in critical care, and aims to deliver perspective regarding glycemic management among critically-ill patients.