hyperglycemia in medical intensive care unit efficacy of insulin protocol glycemic control hypoglycemia hyperglycemia blood glucose variability insulin protocol critical care
Conditions
Interventions
Glycemic control depends on usual practice of physician,Using insulin protocol for initiation and adjustment of glycemic control
No Intervention Other,Experimental Other
protocol group,Post-
protocol group
Sponsors
KCMH Hospital Development fund
none,none
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: - Have at least 1 episode of hyperglycemia, defined by point of care glucose measurement more than 180 mg/dL - Using intravenous insulin infusion at least 24 hours
Exclusion criteria
Exclusion criteria: - Type 1 diabetes - pancreatic diabetes mellitus - hyperglycemic crisis patients, i.e diabetic ketoacidosis, hyperglycemic hyperosmolar state - Major Protocol violation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Glycemic target achieved 6-8 hours Point of care glucose test | — |
Secondary
| Measure | Time frame |
|---|---|
| Hypoglycemia during insulin intravenous treatment Point of care glucose test,Blood glucose variability during insulin intravenous treatment Point of care glucose test,Mortality rate 28 days chart review,ICU length of stay the end of admission chart review | — |
Countries
Thailand
Contacts
Public ContactNitchakarn Laichuthai
King Chulalongkorn Memorial Hospital
Outcome results
None listed