Intensive Insulin Therapy in Hospitalized Patients

Abstract

Letters21 June 2011Intensive Insulin Therapy in Hospitalized PatientsRajesh Garg, MDRajesh Garg, MDFrom Brigham and Women's Hospital, Boston, MA 02115.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-154-12-201106210-00020 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Qaseem and colleagues' clinical practice guideline for the management of hyperglycemia in hospitalized patients (1) is confusing and may do more harm than good. The guideline recommends against use of IIT in the ICU as well as in the non-ICU setting, regardless of the diabetes status of the patient. Intensive insulin therapy is defined as the use of intravenous insulin infusion; if intravenous insulin infusion should not be used in the ICU, what should be used to keep blood glucose levels in the target range of 7.8 to 11.1 mmol/L (140 to 200 mg/dL)? Should it be ...Reference1. Qaseem A, Humphrey LL, Chou R, Snow V, Shekelle P; Clinical Guidelines Committee of the American College of Physicians. Use of intensive insulin therapy for the management of glycemic control in hospitalized patients: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2011;154:260-7. [PMID: 21320941] LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Brigham and Women's Hospital, Boston, MA 02115.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoUse of Intensive Insulin Therapy for the Management of Glycemic Control in Hospitalized Patients: A Clinical Practice Guideline From the American College of Physicians Amir Qaseem , Linda L. Humphrey , Roger Chou , Vincenza Snow , Paul Shekelle , and Intensive Insulin Therapy in Hospitalized Patients Mary Korytkowski , Etie Moghissi , and Guillermo Umpierrez Intensive Insulin Therapy in Hospitalized Patients Devan Kansagara , Paul Shekelle , and Amir Qaseem Intensive Insulin Therapy in Hospitalized Patients Lynn Bentson Intensive Insulin Therapy in Hospitalized Patients Anthony P. Furnary Metrics Cited byManagement of Hyperglycemia During the Perioperative Period 21 June 2011Volume 154, Issue 12Page: 846KeywordsBloodConflicts of interestGlucoseHyperglycemiaInsulinIntensive care unitsSubcutaneous injectionsTreatment guidelinesType 1 diabetesType 2 diabetes ePublished: 21 June 2011 Issue Published: 21 June 2011 Copyright & PermissionsCopyright © 2011 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...