• Crit Care · Jan 2010

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    Patients with diabetes in the intensive care unit; not served by treatment, yet protected?

    • Sarah E Siegelaar, J Hans Devries, and Joost B Hoekstra.
    • Academic Medical Centre, Department of Internal Medicine, Meibergdreef 9, Amsterdam, The Netherlands. s.e.siegelaar@amc.uva.nl
    • Crit Care. 2010 Jan 1;14(2):126.

    AbstractDiabetes is associated with severe complications and decreased life expectancy. However, in the previous issue of Critical Care, Vincent and colleagues report no difference in mortality between patients with insulin-treated diabetes and patients without diabetes in the intensive care unit (ICU), despite larger severity of illness in the diabetes group at admission. This study contributes to the growing evidence that diabetes in itself is not a risk factor for ICU mortality, although the mechanisms are not yet fully understood. On the other hand, patients with diabetes seem not to benefit from tight glycemic control during their ICU stay. Different treatment approaches may be needed for patients with diabetes and patients with stress hyperglycemia.

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