Shaoning, L.V. et al. Nursing in Critical Care. Published online 27 February 2017
Background: Glycaemic control is recognized as one of the important aspects in managing critically ill patients. Both hyperglycaemia and hypoglycaemia independently increase the risk of patient mortality. Hence, the identification of optimal glycaemic control is of paramount importance in the management of critically ill patients.
Conclusion: This literature review provides a recommendation for targeting the optimal blood glucose level for critically ill patients within moderate blood glucose level target range (8–10 mmol/L). The need for uniformed glucometrics for unbiased reporting and further research for optimal blood glucose target is required, especially in light of new technological advancements in closed-loop insulin delivery and monitoring devices.
Relevance to clinical practice: This literature review has revealed a need to call for consensus in the measurement and reporting of glycaemic control using standardized glucometrics.
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