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lüll Perioperative and critical illness dysglycemia--controlling the iceberg Keegan MT; Goldberg ME; Torjman MC; Coursin DBJ Diabetes Sci Technol 2009[Nov]; 3 (6): 1288-91Patients with dysglycemia related to known or unrecognized diabetes, stress hyperglycemia, or hypoglycemia in the presence or absence of exogenous insulin routinely require care during the perioperative period or critical illness. Recent single and multicenter studies, a large multinational study, and three meta-analyses evaluated the safety of routine tight glycemic control (80-110 mg/dl) in critically ill adults. Results led to a call for more modest treatment goals (initiation of insulin at a blood glucose >180 mg/dl with a goal of approximately 150 mg/dl). In this symposium, an international group of multidisciplinary experts discusses the role of tight glycemic control, glucose measurement technique and its accuracy, glucose variability, hypoglycemia, and innovative methods to facilitate glucose homeostasis in this heterogeneous patient population.|*Critical Illness[MESH]|*Surgical Procedures, Operative/adverse effects[MESH]|Blood Glucose Self-Monitoring[MESH]|Blood Glucose/drug effects/*metabolism[MESH]|Critical Care[MESH]|Diabetes Mellitus, Type 2/blood/*diagnosis/drug therapy[MESH]|Evidence-Based Medicine[MESH]|Humans[MESH]|Hyperglycemia/blood/*diagnosis/drug therapy[MESH]|Hypoglycemia/blood/*diagnosis/drug therapy[MESH]|Hypoglycemic Agents/administration & dosage/adverse effects[MESH]|Insulin/administration & dosage/adverse effects[MESH]|Perioperative Care[MESH]|Practice Guidelines as Topic[MESH]|Predictive Value of Tests[MESH]|Risk Assessment[MESH]|Risk Factors[MESH] |