The role of intensive blood glucose therapy in diabetic patients undergoing cardiovascular surgery

Hyperglycemia is a known risk factor for increased risk of mortality and morbidity in critically ill patients. Good glycemic control is associated with improved outcomes in these patients but, there is no consensus on what level of glucose is to be defined as a “good” level.

In India, and globally, the management of glycemia in diabetic patients differs between facilities and even among practitioners within the same facility. However, in general, a widely accepted notion is that strict glycemic levels should be targeted in critically ill patients. With the same belief, researchers from Cleveland, Ohio studied the glycemic control of diabetic patients undergoing cardiovascular surgery (CVS). They hypothesized that diabetic patients who undergo heart surgery may have a ...