Search Tag: glycaemic control
2024 17 Apr
Hyperglycaemia is common in critically ill patients and can lead to increased morbidity and mortality. While intensive insulin therapy (INT) has shown benefits in specific research settings, achieving them in clinical practice without risking hypoglycaemia is challenging. Current consensus guidelines recommend targeting moderate or conventional glucose...Read more
2019 14 Nov
Type 2 diabetes is very common not only in North America, but globally. The disorder can lead to severe limb and life-threatening complications if the blood glucose is not adequately controlled. When blood glucose levels remain elevated, it can lead to renal failure requiring dialysis, blindness, amputation of the lower extremity, peripheral neuropathy...Read more
2018 08 Aug
Hyperglycaemia is prevalent in critical care, caused by a complex interaction of multiple feedback loops associated with inflammation as a result of immune responses, counter-regulatory responses, and high blood glucose itself. However, glycaemic control (GC) currently leads to increased hypoglycaemia, independently associated with a greater risk...Read more
2018 16 Mar
This symposium explored controversial aspects of the nutritional management of patients in the ICU. There are new concepts and old controversies such as the role of permissive underfeeding and the optimal timing of nutrient delivery. Glucose control is also one such area where there is still no widespread agreement on optimal targets for blood...Read more
2018 16 Mar
There is still no widespread agreement around optimal targets for glucose control in the ICU: some clinicians maintain that glucose control is unnecessary and harmful, while others claim that blood glucose control is essential to improve prognosis. 1-3 Those who favour liberal glycaemic control assert that hyperglycaemia is simply a beneficial adaptation...Read more
2017 02 Feb
Study involving Intensivists from 90 ICUs in northwest Europe confirms significant variability in glycaemic control practices Sphere Medical , an innovative company in critical care monitoring and diagnostics equipment, has recently presented at the Intensive Care Society State of the Art Meeting and published a scientific poster discussing,...Read more
2017 31 Jan
Critically ill children with hyperglycaemia did not benefit from tight glycaemic control targetted to a blood glucose level of 80 to 110 mg per decilitre, as compared with a level of 150 to 180 mg per decilitre, according to results of a multicentre trial reported in The New England Journal of Medicine. The trial was stopped early, on the recommendation...Read more