Pro/con debate: Is intensive insulin therapy targeting tight blood glucose control of benefit in critically ill patients?

Crit Care. 2008;12(2):212. doi: 10.1186/cc6837. Epub 2008 Apr 25.

Abstract

You have decided to develop a protocol for insulin therapy in your intensive care unit (ICU). You wonder about the merit of using intensive insulin therapy (IIT) to maintain tight blood glucose control in your patients.

Publication types

  • Review

MeSH terms

  • Blood Glucose / drug effects*
  • Blood Glucose / metabolism
  • Clinical Protocols*
  • Critical Care / standards*
  • Critical Illness / therapy*
  • Diabetes Mellitus / blood
  • Diabetes Mellitus / drug therapy*
  • Humans
  • Hyperglycemia / drug therapy
  • Hyperglycemia / metabolism
  • Hypoglycemia / drug therapy
  • Hypoglycemia / metabolism
  • Insulin / therapeutic use*

Substances

  • Blood Glucose
  • Insulin