24 Apr 10
Hourly measurements not required for safe and effective glycemic control in the critically ill patient
By M Hoekstra, M Vogelzang, E Verbitskiy and M Nijsten
In the recently published work of Juneja and colleagues the authors describe the excellent results of a computerized insulin dosing algorithm (Clarian GlucoStabilizer™). To prevent hypoglycemia, however, the authors note that frequent (that is, hourly) measurements are required. We believe that, with an adequate algorithm, the required level of glucose control can be reached without hourly glucose measurements.