Critical care medicine
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Critical care medicine · Dec 2008
Randomized Controlled Trial Comparative StudyIntensive versus conventional insulin therapy: a randomized controlled trial in medical and surgical critically ill patients.
The role of intensive insulin therapy in medical surgical intensive care patients remains unclear. The objective of this study was to examine the effect of intensive insulin therapy on mortality in medical surgical intensive care unit patients. ⋯ Intensive insulin therapy was not associated with improved survival among medical surgical intensive care unit patients and was associated with increased occurrence of hypoglycemia. Based on these results, we do not advocate universal application of intensive insulin therapy in intensive care unit patients.