What,why and how to monitor blood glucose in critically ill patients

查看全文 作　　者：Deven [1]Juneja;Desh [2]Deepak;Prashant [3,4]Nasa

机构地区：[1]Institute of Critical Care Medicine,Max Super Speciality Hospital,Saket,New Delhi 110017,India;[2]Department of Critical Care,King's College Hospital,Dubai 340901,United Arab Emirates;[3]Department of Critical Care,NMC Speciality Hospital,Dubai 7832,United Arab Emirates;[4]Department of Critical Care,College of Medicine and Health Sciences,Al Ain 15551,United Arab Emirates

出　　处：《World Journal of Diabetes》索引2023年第14卷第5期,共11页

摘　　要：Critically ill patients are prone to high glycemic variations irrespective of their diabetes status.This mandates frequent blood glucose(BG)monitoring and regulation of insulin therapy.Even though the most commonly employed capillary BG monitoring is convenient and rapid,it is inaccurate and prone to high bias,overestimating BG levels in critically ill patients.The targets for BG levels have also varied in the past few years ranging from tight glucose control to a more liberal approach.Each of these has its own fallacies,while tight control increases risk of hypoglycemia,liberal BG targets make the patients prone to hyperglycemia.Moreover,the recent evidence suggests that BG indices,such as glycemic variability and time in target range,may also affect patient outcomes.In this review,we highlight the nuances associated with BG monitoring,including the various indices required to be monitored,BG targets and recent advances in BG monitoring in critically ill patients. 关键词：Blood glucose Continuous glucose monitoring Critical care Glycaemic indices HYPOGLYCAEMIA Intensive care unit

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What,why and how to monitor blood glucose in critically ill patients

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