Which patient groups should receive IV insulin therapy?

Updated: Nov 06, 2018
  • Author: Guy W Soo Hoo, MD, MPH; Chief Editor: George T Griffing, MD  more...
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Answer

Answer

Intravenous insulin titration protocols have been in place for several years and predate the experience outlined by van den Berghe but were not widely considered or adopted until after the 2001 report. Since the NICE-SUGAR report, the pendulum has shifted away from near universal intravenous insulin therapy for the critically ill to utilization in selected patients. It remains an important component of patient management, especially in patient subgroups, such as those undergoing open cardiac surgery. Several tenets of a successful, effective intravenous insulin protocol have been recognized the protocol used is only a minor component. Implementation of an insulin protocol without key nursing, physician, and administrative support is doomed to fail.


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