Target of blood glucose control in the critically ill patients: The tighter, the better?
10.3760/cma.j.issn.1000-6699.2010.06.002
- VernacularTitle:重症监护病房患者的血糖控制目标:越严格越好吗?
- Author:
Qing TIAN
;
Tianpei HONG
- Publication Type:Journal Article
- Keywords:
Intensive care unit;
Blood glucose control;
Hyperglycemia;
Hypoglycemia
- From:
Chinese Journal of Endocrinology and Metabolism
2010;26(6):440-443
- CountryChina
- Language:Chinese
-
Abstract:
The management of hyperglycemia in the intensive care unit(ICU)patients has been concerned in recent years.Epidemiological data show that the occurrence of severe hyperglycemia is associated with increased mortality and morbidity in ICU patients.Several large scale trials about intensive glycemic control in the critically ill patients were carried out,but reached disparate conclusions.Based on the latest clinical research evidences,the optimal target range of blood glucose Level in ICU patients seems to be 7.8-10 mmol/L.However,the target should be individualized in clinical practice.Both hyperglycemia and hypoglycemia should be carefully avoided.