Fast Five Quiz: Type 2 Diabetes in the Intensive Care Setting

Anne L. Peters, MD

Disclosures

January 25, 2022

Stress-induced hyperglycemia in the ICU does not have a better prognosis than hyperglycemia in patients with preexisting diabetes and it may in fact have a worse prognosis, serving as a marker for more severe disease.

According to the American Diabetes Association 2022 Standards of Care, a target glucose range of 140-180 mg/dL is recommended for most critically ill and noncritically ill patients. Settings in which more or less stringent goals may be appropriate are outlined in the full guidelines.

In patients who are hypotensive, plasma glucose values are more accurate than fingerstick glucose levels.

Insulin remains the preferred treatment for hyperglycemia in the ICU and other inpatient settings.

Learn more about the management of type 2 diabetes in the ICU.

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