title: Blood glucose control in the intensive care unit: discrepancy between belief and practice.
abstract: A survey among pediatric intensive care physicians showed that a great disparity exists between physicians' beliefs regarding hyperglycemia in critically ill patients and their daily practices to screen and treat hyperglycemia. One of the most prominent reasons for hesitating to implement tight glycemic control is the fear of evoking iatrogenic hypoglycemia. Results from ongoing and future studies focusing on both short- and long-term effects of tight glycemic control in broad populations of critically ill children can provide further strong evidence for implementing tight glycemic control. Improving the accuracy of bedside blood glucose measurements and developing reliable computer algorithms to steer insulin infusions can help to overcome the fear of evoking iatrogenic hypoglycemia.
authors.affiliation: Department of Intensive Care Medicine, University Hospitals Leuven, Herestraat 49, B-3000 Leuven, Belgium. dirk.vlasselaers@uzleuven.be
authors.forename: Dirk
authors.initials: D
authors.lastname: Vlasselaers
mesh_terms: D001786:Blood Glucose / Q000032:analysis*; D038321:Glycemic Index; D019538:Health Care Surveys; D006801:Humans; D006943:Hyperglycemia / Q000188:drug therapy*; D007049:Iatrogenic Disease / Q000517:prevention & control; D007362:Intensive Care Units; D010818:Practice Patterns, Physicians'
chemical_list: D001786:Blood Glucose
references.citation: Crit Care. 2010;14(1):R11
references.pmid: 20128893
references.citation: N Engl J Med. 2001 Nov 8;345(19):1359-67
references.pmid: 11794168
references.citation: N Engl J Med. 2006 Feb 2;354(5):449-61
references.pmid: 16452557
references.citation: N Engl J Med. 2009 Mar 26;360(13):1283-97
references.pmid: 19318384
references.citation: Lancet. 2009 Feb 14;373(9663):547-56
references.pmid: 19176240
references.citation: J Diabetes Sci Technol. 2008 Nov;2(6):932-8
references.pmid: 19885282
references.citation: Intensive Care Med. 2009 Jan;35(1):123-8
references.pmid: 18661120
references.citation: Anesth Analg. 2010 Apr 1;110(4):1056-65
references.pmid: 20142354