Glycemic Targets in Critical Care

Meeting the targets in consensus recommendations on inpatient glycemic control requires different protocols for different kinds of patients.

For hospitalized patients who are not critically ill, a protocol employing scheduled subcutaneous insulin therapy with basal, nutritional, and correctional components is effective, Dr. Mary T. Korytkowski said at a meeting sponsored by the American Diabetes Association.

For critically ill patients, intravenous insulin infusion protocols are better for achieving and maintaining glycemic control, she said. Many hospitals further subdivide the protocol for critically ill patients to have different glycemic targets for surgical and nonsurgical ICU patients, added Dr. Korytkowski, professor of medicine at the University of Pittsburgh's Center for Diabetes and Endocrinology.

Meeting the targets in consensus recommendations on inpatient glycemic control requires different protocols for different kinds of patients.

For hospitalized patients who are not critically ill, a protocol employing scheduled subcutaneous insulin therapy with basal, nutritional, and correctional components is effective, Dr. Mary T. Korytkowski said at a meeting sponsored by the American Diabetes Association.

For critically ill patients, intravenous insulin infusion protocols are better for achieving and maintaining glycemic control, she said. Many hospitals further subdivide the protocol for critically ill patients to have different glycemic targets for surgical and nonsurgical ICU patients, added Dr. Korytkowski, professor of medicine at the University of Pittsburgh's Center for Diabetes and Endocrinology.

Meeting the targets in consensus recommendations on inpatient glycemic control requires different protocols for different kinds of patients.

For hospitalized patients who are not critically ill, a protocol employing scheduled subcutaneous insulin therapy with basal, nutritional, and correctional components is effective, Dr. Mary T. Korytkowski said at a meeting sponsored by the American Diabetes Association.

For critically ill patients, intravenous insulin infusion protocols are better for achieving and maintaining glycemic control, she said. Many hospitals further subdivide the protocol for critically ill patients to have different glycemic targets for surgical and nonsurgical ICU patients, added Dr. Korytkowski, professor of medicine at the University of Pittsburgh's Center for Diabetes and Endocrinology.