Landmark studies comparing intensive insulin therapy and conventional management

Landmark studies comparing intensive insulin therapy and conventional management

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Glucose control in patient admitted to the intensive care unit has been a topic of much debate over the past 20 years. The harmful effects of uncontrolled hyperglycemia and hypoglycemia in critically ill patients is well established. Although a large clinical trial in 2001 demonstrated significant mortality and morbidity benefits with tight glucose...

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... targets for critically ill patients have shifted over time based on a litany of studies comparing intensive insulin therapy (IIT) to conventional glucose management over the last two decades (Table 1) [11][12][13][14][15][16][17]. Strategies and targets for glycemic control in critically ill patients were variable before the early 2000s. ...

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