Insulin therapy and blood glucose management in critically ill patients: a 1-day cross-sectional observational study in 69 French intensive care units.
Maxime DesgrouasJulien DemiselleLaure StielVincent BrunotRémy MarnaiSacha SarfatiMaud FiancetteFabien LambiotteArnaud W ThilleMaxime LeloupSébastien ClercPascal BeuretAnne-Astrid BourionJohan DaumRémi MalhommeRamin RavanBertrand SauneufJean-Philippe RigaudPierre-François DequinThierry BoulainPublished in: Annals of intensive care (2023)
Practices regarding blood glucose management varied widely among French ICUs. Administration of short or long-acting SC insulin was not unusual and associated with more frequent hyperglycaemia. The protocolized insulin algorithms used failed to prevent hyperglycaemic events.