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Commentary

Ingredients for adequate evaluation of blood glucose algorithms as applied to the critically ill

Tom Van Herpe1 email, Bart De Moor1 email and Greet Van den Berghe2 email

Department of Electrical Engineering (ESAT – SCD), Katholieke Universiteit Leuven, Kasteelpark Arenberg 10, B-3001 Heverlee, Leuven, Belgium

Department of Intensive Care Medicine, University Hospital Gasthuisberg, Katholieke Universiteit Leuven, Herestraat, B-3000 Leuven, Belgium

author email corresponding author email

Critical Care 2009, 13:102doi:10.1186/cc7115

Published: 7 January 2009


See related research by Eslami et al., http://ccforum.com/content/12/6/R139

Abstract

The article by Eslami and colleagues provides an overview of the indicators used to measure the quality of blood glucose control in patients admitted to the intensive care unit. Each indicator can be related to one or more of the following categories: blood glucose zones, blood glucose levels, time intervals, and features of the insulin titration algorithm. Some important issues (for instance those concerning the clarity of definitions used for glycaemic thresholds) are raised. This systematic review calls for a practical guide to advise the clinician how different blood glucose signals should (ideally) be evaluated and which steps should to be undertaken.


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