Rattan Rishi, Nasraway Stanley A
Tufts Medical Center, Boston, MA 02111, USA.
J Diabetes Sci Technol. 2013 Mar 1;7(2):548-54. doi: 10.1177/193229681300700231.
Since the development of intensive insulin therapy for the critically ill adult, tight glycemic control (TGC) has become increasingly complicated to apply and achieve. Software-guided (SG) algorithms for insulin dosing represent a new method to achieve euglycemia in critical illness. We provide an overview of the state of SG TGC with an eye to the future. The current milieu is disorganized, with little research that incorporates newer variables of dysglycemia, such as glycemic variability. To develop and implement better algorithms, scientists, programmers, and clinicians need to standardize measurements and variables.
自从针对重症成年患者的强化胰岛素治疗出现以来，严格血糖控制（TGC）在应用和实现方面变得越来越复杂。胰岛素给药的软件引导（SG）算法是在危重症中实现血糖正常的一种新方法。我们着眼于未来，概述了SG TGC的现状。当前的情况杂乱无章，很少有研究纳入血糖异常的新变量，如血糖变异性。为了开发和实施更好的算法，科学家、程序员和临床医生需要规范测量方法和变量。
