Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
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Meta Analysis
Insulin infusion protocols for critically ill patients: a highlight of differences and similarities.
To discuss the major differences and similarities among the currently published insulin infusion protocols (IIPs) for critically ill patients. ⋯ Clinicians should evaluate the type of patients in their critical care units, the mean baseline glucose levels, and the available resources to determine the most appropriate and practical IIP for their institution.
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To develop insight into resident physician attitudes about inpatient hyperglycemia and determine perceived barriers to optimal management. ⋯ Most residents acknowledged the importance of good glucose control in hospitalized patients and chose target glucose ranges consistent with existing guidelines. Lack of knowledge about insulin treatment options was the most commonly cited barrier to ideal management. Educational programs should emphasize inpatient treatment strategies for glycemic control.