Intensive Care Medicine

, Volume 33, Issue 4, pp 570–571 | Cite as

Steps for the implementation and validationof tight glucose control

  • Jean-Charles PreiserEmail author
  • Philippe Devos

In this issue of Intensive Care Medicine, Meynaar et al. [1] report a very typical stepwise approach required to implement a tight glucose control in their intensive care unit (ICU). Although their starting point (no point-of-care glucose measurement, glucose check once a day in stable patients, no insulin protocol) might seem obsolete for many other ICUs, they actually describe what all of us should do to comply with current recommendations [2]. Whichever the desired target for blood glucose level, it is mandatory to implement a systematic algorithm which will indicate not only the rate of insulin, but also the time for the next glucose check. The use of a dynamic scale rather than a sliding scale appears safer [3]. Of course, such an algorithm must be user-friendly in order to be used and applied when any change of the intake of carbohydrate and/or insulin infusion rate is anticipated. For instance, the adaptation of the insulin infusion rate must be planned when enteral nutrition...


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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  1. 1.Department of General Intensive Care, University Hospital CentreUniversity of LiegeLiegeBelgium

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