Glycemic Control
Conditions
Keywords
Glucose, Insulin
Brief summary
entGlycemic control has been found to improve clinical outcomes following Coronary Bypass Surgery. This study tests the hypothesis that obtaining tighter glycemic control(80-120mg/dl) as opposed to more moderate control (120-180mg/dl) will further improve outcomes.
Detailed description
150 diabetic patients will be randomized to achieve aggressive glycemic control (80-120mg/dl) vs moderate control (120-180mg/dl) using intravenous insulin infusions beginning at anesthetic induction and continuing for 18 hours following surgery.
Interventions
IV insulin drip at 100units insulin in 100ml saline designed to keep blood glucose between 120-180mg/dl
IV insulin drip to keep serum glucose between 80-120mg/dl.
Sponsors
Study design
Eligibility
Inclusion criteria
* All diabetic patients undergoing Coronary Bypass Surgery
Exclusion criteria
* Patients with hepatic and renal failure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of Hypoglycemia | 24 hours following surgery |
Secondary
| Measure | Time frame |
|---|---|
| free fatty acid levels | 24 hours following surgery |
Countries
United States