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Alterations of blood glucose homeostasis in critically ill children - hyperglycemia --- Zaburzenia homeostazy glukozy u dzieci w stanach krytycznych - hiperglikemia

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Author(s): Urszula Mazur | Tomasz Dworzecki | Ewa Otto-Buczkowska

Journal: Pediatric Endocrinology, Diabetes and Metabolism
ISSN 1234-625X

Volume: 13;
Issue: 1;
Start page: 43;
Date: 2007;
Original page

ABSTRACT
Hyperglycemia is common in critically ill children. It does not appear to be associated with a particular diagnostic category but is significantly associated with the severity of illness. Severe hyperglycemia may be associated with complications, this in turn could result in end-organ dysfunction. A prospective, randomized trial of strict glycemic control in this subset of critically ill children who are at high risk of mortality is both warranted and feasible. Continuous insulin infusion can rapidly and safely improve intravenous glucose tolerance.

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