Glycemic control in the ICU is a topic of perpetual controversy. We've come full circle in the past 20 years – beginning with permissive hyperglycemia, then moving to tight control, and finally now moving back to permissive hyperglycemia. The final answer remains unknown, but in the interim this chapter attempts to muddle through available evidence.
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The IBCC chapter is located 👉 here.
- The podcast & comments are below.
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Hi Josh. Nice post as usual
My point concerning hyperglycemia and most of all the TGC saga is that trivial technical issues are never taken into account.
What seems indisputable is that hypo events are bad. But Maury could show some years ago that these accidents can be prevented with smart perfusion devices https://pubmed.ncbi.nlm.nih.gov/22697362/
I looked at Leuven, Preiser, German and Australian studies. We know nothing about this point…
very nice discussion (as always) on the pendulum of tight vs “lax” glycemic control, autophagy, and special considerations , like the chronically poorly controlled. very nice guys. thanks.