Relationships between blood glucose concentration and outcome and also the optimum management of blood glucose remain highly contentious issues for critical care practitioners. Among the many controversies is whether critically ill patients with diabetes should be treated differently from those without diabetes. Krinsley and colleagues assembled a large observational database that sheds further light on the relationships of hyperglycemia, hypoglycemia and glucose variability and risk of death in critically ill patients with and without diabetes. Defining the optimum treatment and whether this should differ by diabetic status requires high-quality primary interventional research.
AD - The George Institute for Global Health, University of Sydney, PO Box M201, Missenden Road, Sydney, NSW 2050, Australia. sfinfer@georgeinstitute.org.au. AN - 23597205 BT - Critical Care DP - NLM ET - 2013/04/20 J2 - LA - Eng M1 - 2 N1 - Finfer, SimonBillot, LaurentEditorialCrit Care. 2013 Apr 18;17(2):134. N2 -Relationships between blood glucose concentration and outcome and also the optimum management of blood glucose remain highly contentious issues for critical care practitioners. Among the many controversies is whether critically ill patients with diabetes should be treated differently from those without diabetes. Krinsley and colleagues assembled a large observational database that sheds further light on the relationships of hyperglycemia, hypoglycemia and glucose variability and risk of death in critically ill patients with and without diabetes. Defining the optimum treatment and whether this should differ by diabetic status requires high-quality primary interventional research.
PY - 2013 SN - 1466-609X (Electronic)1364-8535 (Linking) EP - 134 ST - T2 - Critical Care TI - Managing blood glucose in critically ill patients with or without diabetes VL - 17 ER -