Our Challenge

During a critical illness, the body’s response to stress can result in hyperglycemia (blood glucose levels of >12 mmol/L), even in patients without diabetes.  Uncontrolled hyperglycemia during a stay in the intensive care unit can increase the risk of bloodstream infections, acute renal failure, prolonged inflammation, polyneuropathies, and even death^1,2. 

Although attempting to control glucose within very strict parameters (4.5 to 6.0 mmol/L) has the potential to cause further harm, more recent research shows optimal levels to target at <10 mmol/L^3,4. Maintaining blood glucose levels below this target in critically ill adults requires a careful balance of intravenous insulin and nutrition to ensure levels are controlled but do not fall below hypoglycemic thresholds.

Our Clinical Care Management team is here to support you, as you work toward improving glycemic control in your intensive care unit. Get started with the resources through the links above, or contact us today.

 

Click HERE for the Care of Critically Ill Clinical Expert Group

Click HERE for the Care of Critically Ill backgrounder

Click HERE for Frequently Asked Questions

 

 

Key Contacts

Dr. Juan Ronco, Clinical Lead
BC Patient Safety & Quality Council
jronco@bcpsqc.ca

Shari McKeown, Quality Leader
BC Patient Safety & Quality Council
smckeown@bcpsqc.ca
604.668.8224

Heather A Davidson, Manager - CCM

Ministry of Health
heather.a.davidson@gov.bc.ca

250.952.3540