Update on glucose in critical care
Olivier Lheureux1, Danielle Prevedello1, Jean-Charles Preiser1
1Department of Intensive Care, CUB-Erasme, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Nutrition (Burbank, Los Angeles County, Calif.)
|November 12, 2018
Summary
This review covers stress hyperglycemia in critical illness, detailing blood glucose regulation, underlying mechanisms, and clinical impacts. It examines therapeutic strategies and future technological advancements for better patient outcomes.
Area of Science:
- Critical care medicine
- Endocrinology
- Metabolic disorders
Background:
- Stress hyperglycemia is a common complication in critically ill patients.
- It is associated with adverse clinical outcomes and increased mortality.
- Understanding its mechanisms is crucial for effective management.
Purpose of the Study:
- To review recent advancements in understanding stress hyperglycemia mechanisms during critical illness.
- To discuss the consequences and therapeutic strategies for stress hyperglycemia.
- To provide insights into current recommendations and future technological hopes.
Main Methods:
- Literature review of recent developments.
- Analysis of physiological regulations of blood glucose.
- Examination of prospective trials and meta-analyses.
Main Results:
- Detailed discussion on the mechanisms of stress hyperglycemia.
- Exploration of clinical associations and consequences.
- Evaluation of therapeutic approaches and their outcomes.
Conclusions:
- Stress hyperglycemia is a complex multifactorial condition in critical illness.
- Current therapeutic strategies have shown variable results.
- Future research and technology hold promise for improved management.
Keywords:
Diabetes mellitusDysglycemiaGlucose monitoringHyperglycemiaHypoglycemiaInsulin therapyMetabolic stressStress hyperglycemiaMore Related Videos
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