Most critically ill patients develop insulin resistance and hyperglycemia, which are associated with mortality risk. However, the severity of hyperglycemia also reflects illness severity, highlighting the need for randomized controlled trials (RCTs) to determine whether hyperglycemia directly impairs outcome [1]. We summarize RCT evidence and propose a practical framework for glucose control in intensive care unit (ICU) patients.

中文翻译：

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在重症监护病房管理血糖控制


大多数危重患者会出现胰岛素抵抗和高血糖，这与死亡风险相关。然而，高血糖的严重程度也反映了疾病的严重程度，因此需要进行随机对照试验（randomized controlled trial， RCT）来确定高血糖是否直接损害结局[1]。我们总结了 RCT 证据，并提出了重症监护病房 （ICU） 患者血糖控制的实用框架。