ICU Protocols pp 471-475 | Cite as

Glycemic Control in the ICU

  • Rajesh Chawla
  • Subhash Todi


Hyperglycemia is commonly seen in both diabetic and nondiabetic patients in ICUs. Hyperglycemia is also an independent risk factor for mortality and morbidity in medical and surgical ICU patients. Various factors contribute to hyperglycemia in the ICU. These include increased counterregulatory hormones (glucagon and cortisol), hepatic insulin resistance, glucocorticoid therapy, dextrose-containing solutions, and high-calorie enteral and parenteral nutrition. It is also believed to be a marker of more severe disease.


Blood Glucose Glycemic Control Intensive Insulin Therapy Hepatic Insulin Resistance Glycemic Variability 
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Copyright information

© Springer India 2012

Authors and Affiliations

  1. 1.Department of Respiratory, Critical Care & Sleep MedicineIndraprastha Apollo HospitalsNew DelhiIndia
  2. 2.Critical Care & EmergencyA.M.R.I. HospitalKolkataIndia

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