What is the role of tight blood glucose management in the treatment of multiple organ dysfunction syndrome (MODS) in sepsis?

Updated: Jan 27, 2020
  • Author: Ali H Al-Khafaji, MD, MPH; Chief Editor: Michael R Pinsky, MD, CM, Dr(HC), FCCP, FAPS, MCCM  more...
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Answer

A protocolized approach to blood glucose management in ICU patients with severe sepsis is recommended, commencing insulin dosing when 2 consecutive blood glucose levels are of more than 180 mg/dL. This approach should target an upper blood glucose level equal or more than 180 mg/dL rather than an upper target blood glucose of equal or less than 110 mg/dL. [20]


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