This commentary considers some of the factors that affect cerebral glucose metabolism in patients with traumatic brain injury. A study recently reported in Critical Care suggested a blood glucose range that may optimize cerebral glucose utilization; the findings of this study are evaluated and discussed. Some of the mechanisms of cerebral glucose control are explored, including the impact of intensive insulin therapy on cerebral metabolism.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2689477PMC
http://dx.doi.org/10.1186/cc7753DOI Listing

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