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Severe hypoglycemia during intensive insulin therapy

Severe hypoglycemia during intensive insulin therapy

Acta Anaesthesiologica Scandinavica 53(1): 61-65

Tight glycemic control reduces mortality in surgical intensive care patients and in long-term medical intensive care patients. A large study on intensive insulin therapy was prematurely discontinued due to safety issues. As the safety of intensive insulin therapy has been questioned, we screened all patients during a 17-month period to reveal the incidence of hypoglycemia and its effects on the outcome of the patients. All patients treated between February 2005 and June 2006 in two intensive care units (ICUs) of a tertiary care teaching hospital were included in the study. A nurse-driven intensive insulin therapy with a target blood glucose level of 4-6 mmol/l had been introduced earlier. The patients were divided into two groups according to the presence of severe hypoglycemia (

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Accession: 055739579

Download citation: RISBibTeXText

PMID: 18945247

DOI: 10.1111/j.1399-6576.2008.01795.x

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