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Critical Care
Published in: Critical Care 1/2010

01-02-2010 | Letter

Hourly measurements not required for safe and effective glycemic control in the critically ill patient

Authors: Miriam Hoekstra, Mathijs Vogelzang, Evgeny Verbitskiy, Maarten W Nijsten

Published in: Critical Care | Issue 1/2010

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Excerpt

In the recently published work of Juneja and colleagues the authors describe the excellent results of a computerized insulin dosing algorithm (Clarian GlucoStabilizer™) [1]. To prevent hypoglycemia, however, the authors note that frequent (that is, hourly) measurements are required. We believe that, with an adequate algorithm, the required level of glucose control can be reached without hourly glucose measurements. …
Literature
1.
Juneja R, Roudebush CP, Nasraway SA, Golas AA, Jacobi J, Carrol J, Nelson D, Abad VJ, Flanders SJ: Computerized intensive insulin dosing can mitigate hypoglycemia and achieve tight glycemic control when glucose measurement is performed and on time. Crit Care 2009, 13: R163. 10.1186/cc8129PubMedCentralCrossRefPubMed
2.
Vogelzang M, Loef BG, Regtien JG, Horst IC, van Assen H, Zijlstra F, Nijsten MW: Computer-assisted glucose control in critically ill patients. Intensive Care Med 2008, 34: 1421-1427. 10.1007/s00134-008-1091-yPubMedCentralCrossRefPubMed
3.
Hoekstra M, Vogelzang M, Horst IC, Zijlstra F, Nijsten MW: Low incidence of hypoglycaemia with computer-assisted glucose in intensive care patients [abstract]. Intensive Care Med 2009,35(Suppl 1):S120.
4.
Hoekstra M, Vogelzang M, Verbitskiy E, Nijsten MW: Health technology assessment review: computerized glucose regulation in the intensive care unit - how to create artificial control. Crit Care 2009, 13: 223. 10.1186/cc8023PubMedCentralCrossRefPubMed
Metadata
Title
Hourly measurements not required for safe and effective glycemic control in the critically ill patient
Authors
Miriam Hoekstra
Mathijs Vogelzang
Evgeny Verbitskiy
Maarten W Nijsten
Publication date
01-02-2010
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2010
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc8190

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