Conference Proceedings

Reducing glycemic variability in intensive care unit patients: a new therapeutic target?

Moritoki Egi, Rinaldo Bellomo

Journal of Diabetes Science and Technology | Published : 2009

Abstract

Acute hyperglycemia is common in critically ill patients. Strict control of blood glucose (BG) concentration has been considered important because hyperglycemia is associated independently with increased intensive care unit mortality. After intensive insulin therapy was reported to reduce mortality in selected surgical critically ill patients, lowering of BG levels was recommended as a means of improving patient outcomes. However, a large multicenter multination study has found that intensive insulin therapy increased mortality significantly. A difference in variability of BG control may be one possible explanation why the effect of intensive insulin therapy varied from beneficial to harmful..

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University of Melbourne Researchers