Carbohydrate provision in the era of tight glucose control

Keith R. Miller, Christy M. Lawson, Vance L. Smith, Brian G. Harbrecht

Research output: Contribution to journalReview article

2 Scopus citations

Abstract

Glycemic control in the critically ill patient has remained a controversial issue over the last decade. Several large trials, with widely varying results, have generated significant interest in defining the optimal target for blood-glucose control necessary for improving care while minimizing morbidity. Nutritional support has evolved into an additional area of critical care where appropriate practices have been associated with improved patient outcomes. Carbohydrate provision can impact blood-glucose levels, and the relationship between nutrition and glucose levels has become more complex in the era of improved glycemic control. This review discusses the controversy surrounding intensive-insulin therapy in the intensive care unit and explores the relationship with nutritional support, both in the enteral and parenteral form. Achieving realistic goals in both carbohydrate provision and glycemic control may improve patient outcome, and are not mutually exclusive practices.

Original languageEnglish (US)
Pages (from-to)388-394
Number of pages7
JournalCurrent gastroenterology reports
Volume13
Issue number4
DOIs
StatePublished - Aug 2011

Keywords

  • Carbohydrate provision
  • Enteral nutrition
  • Glucose control
  • Glycemic control
  • Intensive insulin therapy
  • Parenteral nutrition

ASJC Scopus subject areas

  • Gastroenterology

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