Tight glucose control: should we move from intensive insulin therapy alone to modulation of insulin and nutritional inputs?

Pierre Kalfon¹ and Jean-Charles Preiser²

¹Department of General Intensive Care, Hospital of Chartres, 34, rue du Docteur Maunoury, 28000 Chartres, France

²Department of Intensive Care, University Hospital of Liege, Domaine du Sart Tilman B 35, B-4000 Liege 1, Belgium

author email corresponding author email

Critical Care 2008, 12:156doi:10.1186/cc6915


Published:	19 June 2008

See related research by Chase et al., http://ccforum.com/content/12/2/R49

Abstract

The report by Chase and coworkers in the previous issue of Critical Care describes the implementation into clinical practice of the Specialized Relative Insulin Nutrition Table (SPRINT) for tight glycaemic control in critically ill patients. SPRINT is a simple, wheel-based system that modulates both insulin rate and nutritional inputs. It achieved a better glycaemic control in a severely ill critical cohort than their previous method for glycaemic control in a matched historical cohort. Reductions in mortality were also observed.