When are lower glucose targets (less than the recommended 140-180 mg/dL) considered appropriate?

When are lower glucose targets (less than the recommended 140-180 mg/dL) considered appropriate?

• A. 110-140 mg/dL may be appropriate if safely achieved
• B. 80-110 mg/dL is always recommended
• C. Less than 110 mg/dL is recommended
• D. Less than 110 mg/dL is not recommended due to hypoglycemia

Answer: (A)

Glycemic targets in critically ill patients are individualized; the default goal is 140-180 mg/dL to reduce hypoglycemia risk, but tighter control can be considered if it can be done safely with close monitoring and reliable nutrition support. A target in the 110-140 mg/dL range may be appropriate when it can be achieved safely, with careful insulin titration and frequent glucose checks to prevent hypoglycemia. Numbers below 110 mg/dL are not routinely recommended because they increase the risk of clinically significant hypoglycemia, which can be dangerous in this population.

Glycemic targets in critically ill patients are individualized; the default goal is 140-180 mg/dL to reduce hypoglycemia risk, but tighter control can be considered if it can be done safely with close monitoring and reliable nutrition support. A target in the 110-140 mg/dL range may be appropriate when it can be achieved safely, with careful insulin titration and frequent glucose checks to prevent hypoglycemia. Numbers below 110 mg/dL are not routinely recommended because they increase the risk of clinically significant hypoglycemia, which can be dangerous in this population.