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Updated: Aug 20, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Benefits and methods of achieving strict glycemic control in the ICU
Susan R Roberts1, Bahar Hamedani
1Nutrition Services, Baylor University Medical Center, 3500 Gaston Avenue, Dallas, TX 75246, USA. susanro@baylorhealth.edu
Abstract:
Hyperglycemia, a frequent complication in critically ill patients, has been shown to have a negative influence on morbidity and mortality. Many factors contribute to hyperglycemia, including the stress response, diabetes, obesity, advanced age, corticosteroids, sepsis, pancreatitis, and the use of nutrition support. Application of intensive insulin therapy, when compared with conventional glycemic control measures, seems to improve outcomes in the critically ill patient. Therefore, effective insulin therapy along with appropriate nutrition support prescriptions provide a means for the critical care nurse and other health care team members to lower complications and enhance recovery in the ICU setting.
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