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Pathway for the Management of Hyperglycemia in the Cardiac Care Unit.
Crit Pathw Cardiol
December 2017
From the *Division of Internal Medicine, Icahn School of Medicine at Mount Sinai St. Luke's-West Hospital Center, New York, NY; †Division of Endocrinology, Icahn School of Medicine at Mount Sinai St. Luke's-West Hospital Center, New York, NY; ‡Division of Electrophysiology, Icahn School of Medicine at Mount Sinai St. Luke's-West Hospital Center, New York, NY; and §Cardiac Care Unit, Icahn School of Medicine at Mount Sinai St. Luke's Hospital. New York, NY.
Inpatient hyperglycemia has been associated with increased morbidity and mortality in critically ill patients. Optimal control of blood glucose (BG) levels using insulin infusion protocols has been shown to improve clinical outcomes. Protocols have been developed to prescribe a safe and effective rate of insulin infusion for optimal control of BG levels; however, a major obstacle in their implementation is their complexity.
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