Glycemic control and nutrition in the intensive care unit

M. Molly McMahon, John M. Miles

Research output: Contribution to journalReview article

11 Scopus citations

Abstract

PURPOSE OF REVIEW: Hospital clinicians frequently encounter hyperglycemia due to diabetes or the stress of critical illness in patients who are receiving nutrition support. RECENT FINDINGS: A growing body of evidence suggests that hyperglycemia in the hospital is associated with adverse outcomes (e.g. disability after acute cardiovascular events, infection and death) and that improvement in outcomes can be achieved with improved glycemic control or insulin. Therefore, familiarity with the implications of hyperglycemia and with its treatment are essential for clinicians practicing in hospital settings. SUMMARY: Questions persist regarding the optimal glucose goal range in differing patient groups. In addition, while the technology to deliver glycemic control in intensive care unit settings is widely available, data are limited about effective and safe insulin infusions. Research should focus on the risks and benefits of providing nutrition support in this group of patients, optimal glucose goal ranges, and on methods of achieving desired glucose goal ranges.

Original languageEnglish (US)
Pages (from-to)120-123
Number of pages4
JournalCurrent Opinion in Clinical Nutrition and Metabolic Care
Volume9
Issue number2
DOIs
StatePublished - Mar 1 2006

Keywords

  • Critical illness
  • Hyperglycemia
  • Nutrition support

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

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