Intensive glycemic control in traumatic brain injury: what is the ideal glucose range?
Intensive glycemic control has become standard practice. Existing data, however, suggest this practice may have adverse consequences for traumatic brain injury. The recent paper by Meier and colleagues suggests that intensive glycemic control may be deleterious. The present article explores existing literature surrounding this controversy, and outlines the literature that raises concern. Finally, I suggest an alternative course of action that may enable control of glucose in an optimal range.
Vespa
Paul M
PM
Department of Neurosurgery, David Geffen School of Medicine at UCLA, 757 Westwood Blvd, Suite 6236A, Los Angeles, CA 90095, USA. Pvespa@mednet.ucla.edu
D000818:Animals; D001786:Blood Glucose / Q000378:metabolism*; D001930:Brain Injuries / Q000097:blood* / Q000628:therapy; D038321:Glycemic Index / Q000502:physiology*; D006801:Humans; D012016:Reference Values
D001786:Blood Glucose
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