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Glucose control in critical care

查看全文 作  者:Jeremy [1]Clain;Kannan [2]Ramar;Salim R [3]Surani 高影响力作者 机构地区:[1]College of Medicine, Division of Pulmonary and Critical Care Medicine, Mayo Clinic;[2]Division of Pulmonary and Critical Care Medicine,Mayo Clinic;[3]Division of Pulmonary, Critical Care and Sleep Medicine, Texas AM University高影响力机构 出  处:《World Journal of Diabetes》索引2015年第6卷第9期,共10页高影响力期刊 摘  要:Glycemic control among critically-ill patients has been a topic of considerable attention for the past 15 years. An initial focus on the potentially deleterious effects of hyperglycemia led to a series of investigations regarding intensive insulin therapy strategies that targeted tight glycemic control. As knowledge accumulated, the pursuit of tight glycemic control among critically-ill patients came to be seen as counterproductive, and moderate glycemic control came to dominate as the standard practice in intensive care units. In recent years, there has been increased focus on the importance of hypoglycemic episodes, glycemic variability, and premorbid diabetic status as factors that contribute to outcomes among critically-ill patients. This review provides a survey of key studies on glucose control in critical care, and aims to deliver perspective regarding glycemic management among critically-ill patients. 关 键 词:Glycemic CONTROL Critical CARE BLOOD sugarin INTENSIVE CARE UNIT DIABETES in INTENSIVE CARE UNIT Glycemic CONTROL
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