Glycemia management in critical care patients

Table 2 Practical tips for blood concentration

Take home message
Avoid injecting insulin boluses, both subcutaneous and intravenous
Avoid infusing high glucose concentration solution
Avoid point of care devices for BGC measurements
Use parenteral nutrition
In ICU patients “Standard”, according to the “state-of-the-art” BGC target range: 140-180 mg/dL “Advanced” BGC target range: 129-145 mg/dL
In trauma patients (without traumatic brain injury): Overall: BGC < 140 mg/dL If aged 41-60 years: 80-110 mg/dL

BGC: Blood glucose concentration; ICU: Intensive care unit