Carbohydrate provision in the era of tight glucose control

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

Research output: Contribution to journalArticle

2 Citations (Scopus)

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
Externally publishedYes

Fingerprint

Nutritional Support
Carbohydrates
Glucose
Blood Glucose
Critical Care
Critical Illness
Small Intestine
Intensive Care Units
Insulin
Morbidity
Therapeutics

Keywords

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

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Carbohydrate provision in the era of tight glucose control. / Miller, Keith R.; Lawson, Christy M.; Smith, Vance La Baron; Harbrecht, Brian G.

In: Current Gastroenterology Reports, Vol. 13, No. 4, 08.2011, p. 388-394.

Research output: Contribution to journalArticle

Miller, Keith R. ; Lawson, Christy M. ; Smith, Vance La Baron ; Harbrecht, Brian G. / Carbohydrate provision in the era of tight glucose control. In: Current Gastroenterology Reports. 2011 ; Vol. 13, No. 4. pp. 388-394.
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