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Published in: Intensive Care Medicine 5/2013

01-05-2013 | What's New in Intensive Care

What’s new in glucose control in the ICU?

Author: Greet Van den Berghe

Published in: Intensive Care Medicine | Issue 5/2013

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Excerpt

It is 12 years now since the first randomized controlled trial (RCT) showed that targeting strict normoglycemia (80–110 mg/dl in adults) in ICU patients prevented excess morbidity and mortality as compared with tolerating stress hyperglycemia up to 215 mg/dl [1]. Yet, the topic remains as “hot” as ever, reflected by the more than 500 papers published in 2012. …
Literature
1.
go back to reference Van den Berghe G, Wouters P, Weekers F et al (2001) Intensive insulin therapy in critically ill patients. N Engl J Med 345:1359–1367PubMedCrossRef Van den Berghe G, Wouters P, Weekers F et al (2001) Intensive insulin therapy in critically ill patients. N Engl J Med 345:1359–1367PubMedCrossRef
2.
go back to reference Dellinger RP, Levy LL, Rhodes A et al (2013) Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock, 2012. Intensive Care Med 39:165–228 Dellinger RP, Levy LL, Rhodes A et al (2013) Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock, 2012. Intensive Care Med 39:165–228
4.
go back to reference NICE-SUGAR Study Investigators, Finfer S, Chittock DR, Su SY et al (2009) Intensive versus conventional glucose control in critically ill patients. N Engl J Med 360:1283–1297PubMedCrossRef NICE-SUGAR Study Investigators, Finfer S, Chittock DR, Su SY et al (2009) Intensive versus conventional glucose control in critically ill patients. N Engl J Med 360:1283–1297PubMedCrossRef
5.
go back to reference Lanspa MJ, Hirshberg EL, Phillips GD et al (2012) Moderate glucose control is associated with increased mortality compared to tight glucose control in critically ill non-diabetics. Chest. doi:10.1378/chest.12-2072 PubMed Lanspa MJ, Hirshberg EL, Phillips GD et al (2012) Moderate glucose control is associated with increased mortality compared to tight glucose control in critically ill non-diabetics. Chest. doi:10.​1378/​chest.​12-2072 PubMed
6.
go back to reference Van den Berghe G (2012) Intensive insulin therapy in the ICU—reconciling the evidence. Nature Rev Endo 8:374–378 Van den Berghe G (2012) Intensive insulin therapy in the ICU—reconciling the evidence. Nature Rev Endo 8:374–378
7.
go back to reference Schulz MJ, Harmsen RE, Korevaar JC et al (2012) Adoption and implementation of the original strict glycemic control guideline is feasible and safe in adult critically ill patients. Minerva Anestesiol 78:982–995 Schulz MJ, Harmsen RE, Korevaar JC et al (2012) Adoption and implementation of the original strict glycemic control guideline is feasible and safe in adult critically ill patients. Minerva Anestesiol 78:982–995
8.
go back to reference Maury E, Vitry P, Galbois A et al (2012) Continuous insulin administration via complex central venous catheter infusion tubing is another risk factor for blood glucose imbalance. A retrospective study. Ann Intensive Care 2:16PubMedCrossRef Maury E, Vitry P, Galbois A et al (2012) Continuous insulin administration via complex central venous catheter infusion tubing is another risk factor for blood glucose imbalance. A retrospective study. Ann Intensive Care 2:16PubMedCrossRef
9.
go back to reference Van Herpe T, Mesotten D, Wouters PJ et al (2012) LOGIC-Insulin algorithm-guided versus nurse-directed blood glucose control during critical illness. Diabetes Care 36:188–194PubMedCrossRef Van Herpe T, Mesotten D, Wouters PJ et al (2012) LOGIC-Insulin algorithm-guided versus nurse-directed blood glucose control during critical illness. Diabetes Care 36:188–194PubMedCrossRef
10.
go back to reference NICE-SUGAR Study Investigators, Finfer S, Liu B, Chittock DR (2012) Hypoglycemia and risk of death in critically ill patients. N Engl J Med 367:1108–1118PubMedCrossRef NICE-SUGAR Study Investigators, Finfer S, Liu B, Chittock DR (2012) Hypoglycemia and risk of death in critically ill patients. N Engl J Med 367:1108–1118PubMedCrossRef
11.
go back to reference Mesotten D, Gielen M, Sterken C et al (2012) Neurocognitive development of children 4 years after critical illness and treatment with tight glucose control. A randomized controlled trial. JAMA 308:1641–1650PubMedCrossRef Mesotten D, Gielen M, Sterken C et al (2012) Neurocognitive development of children 4 years after critical illness and treatment with tight glucose control. A randomized controlled trial. JAMA 308:1641–1650PubMedCrossRef
12.
go back to reference Tin W, Brunskill G, Kelly T, Fritz S (2012) 15-year follow-up of recurrent “hypoglycemia” in preterm infants. Pediatrics 130:e1497–e1503PubMedCrossRef Tin W, Brunskill G, Kelly T, Fritz S (2012) 15-year follow-up of recurrent “hypoglycemia” in preterm infants. Pediatrics 130:e1497–e1503PubMedCrossRef
13.
go back to reference Agus MS, Steil GM, Wypii D et al (2012) Tight glycemic control versus standard care after pediatric cardiac surgery. N Engl J Med 367:1208–1219PubMedCrossRef Agus MS, Steil GM, Wypii D et al (2012) Tight glycemic control versus standard care after pediatric cardiac surgery. N Engl J Med 367:1208–1219PubMedCrossRef
14.
go back to reference Ooi YC, Dagi TF, Maltenfort M et al (2012) Tight glycemic control reduces infection and improves neurological outcome in critically ill neurosurgical and neurological patients. Neurosurgery 71:692–702PubMedCrossRef Ooi YC, Dagi TF, Maltenfort M et al (2012) Tight glycemic control reduces infection and improves neurological outcome in critically ill neurosurgical and neurological patients. Neurosurgery 71:692–702PubMedCrossRef
15.
go back to reference Sonneville R, den Hertog HM, Güiza F et al (2012) Impact of hyperglycemia on neuropathological alterations during critical illness. J Clin Endocrinol Metab 97:2113–2123PubMedCrossRef Sonneville R, den Hertog HM, Güiza F et al (2012) Impact of hyperglycemia on neuropathological alterations during critical illness. J Clin Endocrinol Metab 97:2113–2123PubMedCrossRef
16.
go back to reference Preiser JC, Devos P, Ruiz-Santana S et al (2009) A prospective randomised multi-center controlles trial on tight glucose control by intensive insulin therapy in adult intensiev care units: the Glucontrol study. Intensive Care Med 35:1738–1748PubMedCrossRef Preiser JC, Devos P, Ruiz-Santana S et al (2009) A prospective randomised multi-center controlles trial on tight glucose control by intensive insulin therapy in adult intensiev care units: the Glucontrol study. Intensive Care Med 35:1738–1748PubMedCrossRef
Metadata
Title
What’s new in glucose control in the ICU?
Author
Greet Van den Berghe
Publication date
01-05-2013
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 5/2013
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-013-2874-3

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