Ingredients for adequate evaluation of blood glucose algorithms as applied to the critically ill.
The article by Eslami and colleagues provides an overview of the indicators used to measure the quality of blood glucose control in patients admitted to the intensive care unit. Each indicator can be related to one or more of the following categories: blood glucose zones, blood glucose levels, time intervals, and features of the insulin titration algorithm. Some important issues (for instance those concerning the clarity of definitions used for glycaemic thresholds) are raised. This systematic review calls for a practical guide to advise the clinician how different blood glucose signals should (ideally) be evaluated and which steps should to be undertaken.
Van Herpe
Tom
T
Department of Electrical Engineering (ESAT - SCD), Katholieke Universiteit Leuven, Heverlee, Leuven, Belgium. tom.vanherpe@esat.kuleuven.be
De Moor
Bart
B
Van den Berghe
Greet
G
D000465:Algorithms; D001786:Blood Glucose / Q000032:analysis*; D016638:Critical Illness / Q000628:therapy; D006801:Humans
D001786:Blood Glucose