Expert consensus on the glycemic management of critically ill patients

Glucose management in critically ill adults: A qualitative study from the experiences of health care providers

“…In addition to cost considerations, the invasive operation and accuracy of monitoring are still points of concern for healthcare professionals, which is also consistent with the concerns expressed in the guidelines for inpatient glucose management issued by the American Diabetes Association (ADA) [ 34 ]. In addition, frequent capillary blood glucose monitoring can cause pain, and nursing staff choose to collect blood from arterial or venous cannula connectors for blood glucose testing from a humanistic perspective, although this may cause inconsistency and inaccuracy of blood glucose measurement, an operation that is affirmed by the latest expert consensus on glucose management in critically ill patients [ 35 ].…”

Stress hyperglycemia ratio is associated with systemic inflammation and clinical outcomes in diabetic inpatients with pneumonia on admission

“…In diabetic individuals suffered from pneumonia, management of blood glucose is of crucial importance 5 . Several international guidelines have been developed to guide the management of blood glucose in diabetes to avoid hyperglycemia and hypoglycemia 5–9 . However, stress hyperglycemia is common in pneumonia, acting as a physiological response to acute illnesses or injuries 10 .…”

“…Among previous studies, much attention was paid to the hazard of severe stress hyperglycemia to clinical outcomes but little was paid to the relative deficiency of stress blood glucose. In addition, management of blood glucose in patients with and without diabetes, in patients from different medical settings, and in patients with different severity of illness is not the same 5–9 . Thus far, studies focused on stress hyperglycemia on diabetic patients with pneumonia on admission were limited and of small sample size.…”

“…5 Several international guidelines have been developed to guide the management of blood glucose in diabetes to avoid hyperglycemia and hypoglycemia. [5][6][7][8][9] However, stress hyperglycemia is common in pneumonia, acting as a physiological response to acute illnesses or injuries. 10 In case of pneumonia, blood glucose would reflect a composite glucose level of stress blood glucose and background blood glucose.…”

“…In addition, management of blood glucose in patients with and without diabetes, in patients from different medical settings, and in patients with different severity of illness is not the same. [5][6][7][8][9] Thus far, studies focused on stress hyperglycemia on diabetic patients with pneumonia on admission were limited and of small sample size. Also, systemic inflammatory status in patients with different stress hyperglycemia level needs further study.…”