Glucose Test Site Bleeding, Hyperglycemia, Insulin Hypoglycemia
Conditions
Keywords
glucose control, insulin
Brief summary
The investigators propose to conduct a study of practices to describe the methods of managing glycemic control in hospitalized patients in critical care. This is a prospective multicenter observational study conducted in Intensive Medicine and Resuscitation departments in France and Belgium. The aim of this study is to carry out an inventory of the current practices of glycemia management as well as their modalities. Being one of the key points of the management, this work will have for main objective to raise the importance of the glycemic variabilities according to the methods of insulin therapies used.
Interventions
insulin therapy
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient with hyperglycaemia requiring an insulin prescription within 48 hours of admission * Insulin therapy started less than 12 hours before inclusion of the patient in the study * Expected duration of hospitalization greater than or equal to 48 hours
Exclusion criteria
* Moribund patients * Patients admitted for ketoacidosis or hyperosmolar coma * Patients admitted for symptomatic hypoglycaemia * Patient requiring insulin for serum potassium correction * Severe acute hepatocellular insufficiency * Age \< 18 years old * Pregnant or breastfeeding women * Patients under legal protection measures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| glycemic variability | 48 hours | Study the impact of glycemic management protocols on the glycemic variability of patients hospitalized in intensive care |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| adverse outcomes | 48 hours | incidence of hypoglycaemia |
| Analysis of nursing workload | 48 hours | nurse / patient ratio |
Countries
France