Increased blood flow by insulin infusion targeting normoglycemia in patients with severe sepsis: friend or foe?
- PMID: 20236504
- PMCID: PMC2875501
- DOI: 10.1186/cc8228
Increased blood flow by insulin infusion targeting normoglycemia in patients with severe sepsis: friend or foe?
Abstract
A small study in patients with severe sepsis suggested that insulin infused to normalize blood glucose levels increased forearm flow. This clinical observation supports the effect of insulin on the endothelium, as previously shown by in vitro studies and by in vivo animal models of critical illness, but the clinical consequences remain unclear.
Comment on
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Intensive insulin treatment improves forearm blood flow in critically ill patients: a randomized parallel design clinical trial.Crit Care. 2009;13(6):R198. doi: 10.1186/cc8202. Epub 2009 Dec 9. Crit Care. 2009. PMID: 20003200 Free PMC article. Clinical Trial.
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References
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- Ellger B, Debaveye Y, Vanhorebeek I, Langouche L, Giulietti A, Van Etten E, Herijgers P, Mathieu C, Berghe G Van den. Survival benefits of intensive insulin therapy in critical illness: impact of maintaining normoglycemia versus glycemia-independent actions of insulin. Diabetes. 2006;55:1096–1105. doi: 10.2337/diabetes.55.04.06.db05-1434. - DOI - PubMed
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