Organ support & nutrition

Society of Critical Care Medicine Guidelines on Glycemic Control for Critically Ill Children and Adults 2024

Crit Care MedPublished Clinical practice guideline

Methodological detailsGRADE methodology, systematic review
  • GRADE methodology
  • Systematic review

Recommendations

As issued by the authors

  1. Adults: 7 statements (2 good practice statements, 4 conditional recommendations, 1 research statement)

  2. Children: 7 statements (2 good practice statements, 1 strong recommendation, 1 conditional recommendation, 2 "In our practice" statements, 1 research statement)

  3. Adults and children: insulin infusion preferred for acute management of hyperglycemia, titrated by an explicit clinical decision support tool, with frequent (≤ 1 hr) monitoring during glycemic instability to minimize hypoglycemia

  4. Adults and children: against targeting intensive glucose levels

Original publication

Society of Critical Care Medicine Guidelines on Glycemic Control for Critically Ill Children and Adults 2024. Crit Care Med. Published 19 January 2024. doi:10.1097/ccm.0000000000006174

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