Alterations of Blood Glucose Homeostasis in Critically Ill Children Hyperglycemia

ABSTRACT

Ewa Otto-Buczkowska, Tomasz Dworzecki, Urszula Mazur

Hyperglycemia is common in critically ill children. It does not appear to be ssociated with a particular diagnostic category but is significantly associated  with the severity of illness. Severe hyperglycemia may be associated with complications, this in turn  could result in end-organ dysfunction. A prospective, randomized trial of strict  glycemic control in this subset of critically ill children who are at high risk of  ortality is both warranted and feasible. Continuous insulin infusion can rapidly and safely improve intravenous glucose tolerance.

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