Moving beyond tight glucose control to safe effective glucose control.

Abstract:

:The impressive benefits related to the use of tight glucose control by intensive insulin therapy have not been reproduced until now in multicenter large-scale prospective randomized trials. Although the reasons for these failures are not entirely clear, we suggest the use of a stepwise approach - Safe, Effective Glucose Control - that will essentially target an intermediate blood glucose level. As compared with genuine tight glucose control, Safe, Effective Glucose Control - already used in many intensive care units worldwide - is intended to decrease the rate of hypoglycemia and the workload, while reducing the adverse effects of severe hyperglycemia.

journal_name

Crit Care

authors

Krinsley JS,Preiser JC

doi

10.1186/cc6889

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

149

issue

3

eissn

1364-8535

issn

1466-609X

pii

cc6889

journal_volume

12

pub_type

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