Blood glucose control in the intensive care unit: Where is the data?

Casillas, Sebastian; Jauregui, Edgar; Surani, Salim; Varon, Joseph

doi:10.13105/wjma.v7.i8.399

Cited by 5 publications

(3 citation statements)

References 49 publications

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“…It was classified by the American Diabetes Association 2009 as mild hyperglycemia 140-180 mg/dL, moderate hyperglycemia 180-200 mg/dL, and severe hyperglycemia >200 mg/dL [5]. In our study, patients who developed hyperglycemia during the initial 48 hours of admission [9]. Concerning the relation between hyperglycemia detected after 48 hours of admission and diabetes; 250 patients were hyperglycemic (86.2% of the study population), 65.2% of them were diabetic.…”

Section: Discussionmentioning

confidence: 85%

Glucose intolerance in intensive care patients: Incidence and outcome

Shebiny

Elewa

Gouda

et al. 2020

Egyptian Journal of Anaesthesia

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Section: Discussionmentioning

confidence: 85%

Glucose intolerance in intensive care patients: Incidence and outcome

Shebiny

Elewa

Gouda

et al. 2020

Egyptian Journal of Anaesthesia

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“…Surani et. al showed that suboptimal glycemic control elicits alterations in the physiological state of sleep, consequently resulting in the manifestation of insomnia among individuals diagnosed with diabetes (8,9) . The incidence of sleep apnea and other sleep disorders is strongly linked with obesity, a prevalent characteristic among patients who develop type 2 diabetes mellitus (TDM2) due to the insulin resistance commonly found in this population.…”

Section: Discussionmentioning

confidence: 99%

Physio Biochemical Aspects of Sleeping Patterns in Relation to Plasma Glycated Haemoglobin Level in Type 2 Diabetic Patients

Qamar,

Abbas,

Ain

et al. 2023

PJMHS

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Introduction: Diabetes mellitus is a persistent metabolic condition distinguished by raised levels of glucose in the bloodstream, commonly referred to as hyperglycemia. This phenomenon arises due to insufficient endogenous insulin production or impaired insulin utilization by the body. Insulin is a hormone that is biosynthesized and secreted by the pancreatic gland, functioning to modulate the concentration of blood glucose in the body. Glycated hemoglobin, typically referred to as hemoglobin A1c or HbA1c, is a variant of hemoglobin that undergoes glycation upon prolonged exposure to elevated levels of glucose within the bloodstream. Hemoglobin is a crucial protein that is present within erythrocytes and is primarily responsible for the transportation of oxygen across the various tissues of the body. The assessment of HbA1c serves as a means of determining an individual's mean blood glucose levels during the preceding two to three months. The monitoring of long-term glycemic control in individuals with diabetes mellitus is widely recognized to be of utmost importance, with a valuable marker for this purpose being deemed necessary. The levels of HbA1c are commonly reported as a proportion of the total hemoglobin within the circulating blood in the form of a percentage. Objective: To compare the effects of sleeping patterns and plasma glycated haemoglobin levels in type 2 diabetic and non diabetic patients Study Design: Quantitative cross sectional Settings: Punjab Rangers Teaching Hospital, Lahore Duration: Four months i.e. 1st August 2022 to 31st December 2022 Data Collection Procedure: A pre validated questionnaire was used. Study was carried out at Punjab Rangers Teaching Hospital, Lahore. The total numbers of faculty members were 70 who participated after taking the informed consent. The study was done by simple random sampling technique. A fasting blood glucose analysis was conducted on all subjects through the collection of a 5cc blood sample. The study enrolled participants who were divided into two distinct groups based on their fasting blood glucose levels in which 35 were diabetic and 35 were controlled. Mean & standard deviation was calculated. P value is <0.005 means significant. Results: There were 70 participants in the study which equally divided into two groups i.e. thirty five each namely diabetic and controlled one. The participants in diabetic group include 18 males and 17 females while in control group 22 males and 13 females. After analyzing the data we came to know the statistical significant results were shown by insomnia severity index and HbA1c parameters as indicating major difference when compared both controlled and diabetic group in each parameter. Epworth sleepiness scale did not show any significant difference. Conclusion: It is concluded in this study that patients with poor diabetic control have less diabetic HbA1c control which increase higher levels of insomnia which clearly noted in the diabetic group when compared to control one. If we control the glycemic control of patients then definitely the level of insomnia decreases by providing the sleep comfort in daily life. Keywords: Diabetes mellitus, glycated haemoglobin, sleeping patterns, Type 2 diabetes, Insulin

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“…23 We speculate that this may be related to the fact that 76.4% of the participants in our study had participated in blood glucose management training. In addition, the differences in hyperglycaemia rates across departments, that is, 23.9% in hospitalized patients 4 and 50%-85% in critically ill adults, 24 may lead to differences in the level of attention to glycaemic control, with ICU professionals paying more attention to this topic; in addition, this difference may have fed back to ICU professionals' attitudes and practices.…”

Section: Factors Affecting the Kap Of Icu Professionals Regarding Gly...mentioning

confidence: 99%

Staff knowledge, attitudes and practices regarding glycaemic management in adult intensive care units: A national survey

Huang

Yang

Zhang

et al. 2022

Nursing in Critical Care

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BackgroundHyperglycaemia is common in critically ill adult patients. Many studies have identified the content, methods, and effects of glycaemic control but have not explored the effects of knowledge, attitudes, and practices (KAP) on glycaemic control in critically ill adults. Various factors also influence the KAP of intensive care unit (ICU) staff.AimsTo assess KAP regarding glucose management for critically ill adults among nurses and medical professionals and identify the factors that influence their KAP in ICUs.MethodsA multicentre cross‐sectional survey.ResultsIn total, 403/459 (response rate: 87.8%) participants from ICUs in nine tertiary hospitals in China participated in this study, 82.4% of whom were female and 93.4% of whom were nurses. The mean work experience was 8.88 years, and the mean critical care experience was 6.59 years. The scoring rate for the three dimensions of knowledge, attitudes, and practices were 82.35%, 87.69%, and 76%, respectively. We did not find any other factors affecting the KAP scores except for the level of knowledge awareness (p < 0.001), awareness of the importance (p < 0.001), and training for glucose control (p = 0.004).ConclusionICU staff KAP regarding glycaemic control in critically ill adults among ICU professionals were acceptable in China. However, ICU professionals' current knowledge regarding nutrition, glucose variability, and skills related to glucose management could be improved.Relevance to Clinical PracticeICU educators should provide more skills‐related training for healthcare professionals in the glycaemic management of critically ill adults. Moreover, the process of managing blood glucose in adult ICU patients is a collaborative, multidisciplinary team effort, with monitoring and feedback required during implementation.

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Blood glucose control in the intensive care unit: Where is the data?

Cited by 5 publications

References 49 publications

Glucose intolerance in intensive care patients: Incidence and outcome

Glucose intolerance in intensive care patients: Incidence and outcome

Physio Biochemical Aspects of Sleeping Patterns in Relation to Plasma Glycated Haemoglobin Level in Type 2 Diabetic Patients

Staff knowledge, attitudes and practices regarding glycaemic management in adult intensive care units: A national survey

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