Erschienen in:
01.06.2008 | For Debate
No, the glycaemic target in the critically ill should not be ≤6.1 mmol/l
verfasst von:
J. M. Miles, M. M. McMahon, W. L. Isley
Erschienen in:
Diabetologia
|
Ausgabe 6/2008
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Excerpt
Over the past 10 years, a number of studies have been published suggesting that an intensified approach to glycaemic control in hospitalised patients, using intravenous insulin infusion, results in improved outcomes, including decreased mortality rate. These observations have resulted in dramatic changes in the management of hospital hyperglycaemia in Europe and in North America. In the present issue of
Diabetologia, Van den Berghe recommends a blood glucose target of 4.4–6.1 mmol/l for patients in the intensive care unit (ICU) [
1], a position endorsed at a consensus conference convened by the American College of Endocrinology and co-sponsored by the American Diabetes Association, the American Heart Association, the Endocrine Society, the Society of Critical Care Medicine and several other organisations [
2]. For reasons outlined in this paper, we believe that the available data are insufficient to warrant such a recommendation. …