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    Is there more to glycaemic control than meets the eye?

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    12606220_Shulman Commentary - Chase et al - PRINTED.pdf (37.35Kb)
    Author
    Chase, J.G.
    Shaw, G.M.
    Date
    2007
    Permanent Link
    http://hdl.handle.net/10092/1737

    Tight glycaemic control has emerged as a major focus in critical care. However, the struggle to repeat, improve and standardize the results of the initial landmark studies is ongoing. The prospective computerized glycaemic control study by Shulman et al. highlights two emerging and often overlooked aspects of intensive insulin therapy protocols beyond simple glycaemic performance. First, the clinical ergonomics and ability to integrate into the critical care unit workflow must be considered as they may impact results and definitely affect uptake. Second, the real lessons of any protocol's performance are likely to be best realized by comparison with other results, a task that is very difficult without a consensus method of reporting that allows such comparisons across studies. Embracing these issues will take the field closer to accepted, repeatable approaches to tight glycaemic control.

    Subjects
    Fields of Research::320000 Medical and Health Sciences::321000 Clinical Sciences::321004 Endocrinology
     
    Fields of Research::290000 Engineering and Technology::291500 Biomedical Engineering
    Collections
    • Engineering: Journal Articles [1125]
    Rights
    https://hdl.handle.net/10092/17651

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