01084nas a2200145 4500000000100000008004100001100001700042700001900059245007900078250001500157300000800172490000700180520070500187020004600892 2013 d1 aFinfer Simon1 aBillot Laurent00aManaging blood glucose in critically ill patients with or without diabetes a2013/04/20 a1340 v173 a

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.

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