Glycemia management in critical care patients

Table 1 Risks related to hypo, hyper glycemia and high blood glucose target range variability

Take home message
Hypoglycemia is clinically relevant, increased mortality and LOS for BGC values < 80 mg/dL
The risk of hypoglycemic episodes is related to: BGC target range; insulin infusion duration
Hyperglycemia is clinically relevant, increased mortality, increased LOS and higher incidence of postoperative infections for BGC values > 181 mg/dL
High glycemia variability and high complexity of glycemic profile are associated with increased mortality rate

BGC: Blood glucose concentration; LOS: Length of stay.