Tight glycemic control increases metabolic distress in traumatic brain injury

2012 ◽  
Vol 40 (6) ◽  
pp. 1923-1929 ◽  
Author(s):  
Paul Vespa ◽  
David L. McArthur ◽  
Nathan Stein ◽  
Sung-Cheng Huang ◽  
Weber Shao ◽  
...  
Author(s):  
Carla P. Venegas-Borsellino ◽  
Michael A. Pizzi ◽  
Santiago Naranjo-Sierra

Hyperglycemia, hypoglycemia, and variable blood glucose levels are associated with poor outcomes in critically ill patients. Patients with acute brain injury are sensitive to changes in glycemic levels because brain metabolism depends on a continuous, reliable supply of glucose. Numerous studies have shown that even moderate hypoglycemia may cause pronounced neuroglycopenia. Conversely hyperglycemia, which is prevalent in neurocritically ill patients, has been related to adverse outcomes after traumatic brain injury, ischemic stroke, intracranial hemorrhage, and subarachnoid hemorrhage.


Medicine ◽  
2018 ◽  
Vol 97 (30) ◽  
pp. e11671 ◽  
Author(s):  
Chunran Zhu ◽  
Jinjing Chen ◽  
Junchen Pan ◽  
Zhichao Qiu ◽  
Tao Xu

2008 ◽  
Vol 36 (12) ◽  
pp. 3233-3238 ◽  
Author(s):  
Mauro Oddo ◽  
J Michael Schmidt ◽  
Emmanuel Carrera ◽  
Neeraj Badjatia ◽  
E Sander Connolly ◽  
...  

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