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Strict Glycemic Control: Not If and When, but Who and How?

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Intensive Care Medicine

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Abstract

Nurse-driven strict glycemic control aimed at normoglycemia (i.e., blood glucose concentrations between 80–110 mg/dl) decreases mortality and morbidity of intensive care unit (ICU) patients [1, 2]. Of note, with more successful strict glycemic control (i.e., blood glucose concentrations closer to 80 mg/dl) more benefit is achieved [3, 4]. Indeed, the lowered blood glucose concentration rather than the insulin dose is related to reduced mortality, critical illness polyneuropathy, bacteremia, and inflammation [3].

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Authors and Affiliations

  1. Department of Intensive Care, Academic Medical Center, Meibergdreef 9, 1105 AZ, Amsterdam, Netherlands

    M. J. de Graaff, P. E. Spronk & M. J. Schultz

Authors
  1. M. J. de Graaff
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  2. P. E. Spronk
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  3. M. J. Schultz
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Editor information

Editors and Affiliations

  1. Department of Intensive Care Erasme Hospital, Université libre de Bruxelles, Route de Lennik 808, 1070, Brussels, Belgium

    Jean-Louis Vincent MD, PhD, FCCM, FCCP (Head) (Head)

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de Graaff, M.J., Spronk, P.E., Schultz, M.J. (2008). Strict Glycemic Control: Not If and When, but Who and How?. In: Vincent, JL. (eds) Intensive Care Medicine. Springer, New York, NY. https://doi.org/10.1007/978-0-387-77383-4_47

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  • DOI: https://doi.org/10.1007/978-0-387-77383-4_47

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-77382-7

  • Online ISBN: 978-0-387-77383-4

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