The future is now: Software-guided intensive insulin therapy in the critically ill

Rishi Rattan, Stanley A. Nasraway

Research output: Contribution to journalComment/debatepeer-review

18 Scopus citations

Abstract

Since the development of intensive insulin therapy for the critically ill adult, tight glycemic control (TGC) has become increasingly complicated to apply and achieve. Software-guided (SG) algorithms for insulin dosing represent a new method to achieve euglycemia in critical illness. We provide an overview of the state of SG TGC with an eye to the future. The current milieu is disorganized, with little research that incorporates newer variables of dysglycemia, such as glycemic variability. To develop and implement better algorithms, scientists, programmers, and clinicians need to standardize measurements and variables.

Original languageEnglish (US)
Pages (from-to)548-554
Number of pages7
JournalJournal of Diabetes Science and Technology
Volume7
Issue number2
DOIs
StatePublished - Mar 2013
Externally publishedYes

Keywords

  • Computerized decision support system
  • Hyperglycemia
  • Intensive insulin
  • Software
  • Tight glycemic control

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Bioengineering
  • Biomedical Engineering

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