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We hypothesized that moderate glucose control would affect patients with and without preexisting diabetes differently.
In 2009, many clinicians at Intermountain Healthcare selected a moderate glucose control (90-140 mg/dL) instead of tight glucose control (80-110 mg/dL).
In this study, nitrogen balance was improved using moderate glucose control.
Moderate glucose control was safer than intensive glucose control regarding severe hypoglycemia.
Moderate glucose control results in less negative nitrogen balances in medical ICU patients.
Moderate glucose control can result in a less negative nitrogen balance in medical ICU patients.
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Otherwise, moderate blood glucose control (≈8-10 mmol/L) is recommended for the management of patients with severe brain injury.
The local guideline for moderate blood glucose control did not change during the period of data collection, and has been described before [7 9].
Avoiding a 5-kg weight gain was 1.5 times more important in Sweden and 2.3 times more important in Germany than achieving moderate blood glucose control, thereby, suggesting that blood glucose control is relatively more important to Swedish than to German patients.
The local guideline for moderate blood glucose control did not change during the period of data collection, and has been described before [ 7– 9].
Conclusion In comparison with the use of CDDS-1, the use of CDSS-2 was associated with a lower incidence of both severe and moderate hypoglycemia during blood glucose control in critically ill patients.
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