Glucose Management in Critical Care Units

Hyperglycemia, a common issue in critically ill patients, is a predictor of adverse outcomes, including mortality. Physicians should implement strategies for achieving reasonable and safe glycemic targets from ICU admission to discharge. This course will discuss emerging evidence that non-insulin regimens may improve glycemic control and reduce the need for insulin administration in hyperglycemic ICU patients.

Original Release Date: December 2016
Review Date: December 2021

Target Audience

Hospitalists, Internists, Family Medicine Physicians, Emergency Medicine Physicians, Surgeons, Endocrinologists, Podiatrists, Physician Assistants, Nurse Practitioners, Nurses, Pharmacists, Dietitians, Respiratory Therapists, Occupational Therapists and other interested healthcare practitioners.

Learning Objectives

  • Examine the impact of glycemic control on clinical outcomes for surgical patients in the ICU setting.  
  • Implement strategies for achieving reasonable and safe glycemic targets from ICU admission to discharge.
  • Discuss emerging evidence that non-insulin regimens (incretin therapy) may improve glycemic control and reduce the need for insulin administration in hyperglycemic ICU patients.
Additional information
Bibliography: 
  • Corrigendum for Ann. NY Acad. Sci. 2014. 1308: 11-32. (2014). Ann. N.Y. Acad. Sci. Annals of the New York Academy of Sciences, 1309(1), 63-63. doi:10.1111/nyas.12402
  • Ann. NY Acad. Sci. 2010 Nov;1212:1-11, Management of hyperglycemia in hospitalized patients, Smiley D, Umpierrez GE. http://www.ncbi.nlm.nih.gov/pubmed/21039589
Resources: 

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Course Summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Florida Board of Dietitians
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.00 Florida Board of Occupational Therapy
  • 1.00 Florida Board of Pharmacy
  • 1.00 Florida Board of Podiatric Medicine
  • 1.00 Florida Board of Respiratory Therapy
Course opens: 
06/01/2016
Course expires: 
04/30/2022

Archana R. Sadhu, M.D., FACE
Department of Medicine
Director, System Diabetes Management Program                             
Division of Endocrinology, Diabetes and Metabolism
Houston Methodist Hospital
Houston, Texas

Archana R. Sadhu, M.D., FACE, faculty for this educational activity, has no relevant financial relationship with ineligible companies* to disclose and has indicated that the presentation or discussion will not include off-label or unapproved product usage. 

Michael D. Fili, M.D., conference director for this educational activity, has no relevant financial relationship with ineligible companies* to disclose.

Non-faculty contributors and others involved in the planning, development, and editing/review of the content have no relevant financial relationships to disclose with ineligible companies*.  

*Ineligible companies -- Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
             
Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Florida Board of Dietitians
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.00 Florida Board of Occupational Therapy
  • 1.00 Florida Board of Pharmacy
  • 1.00 Florida Board of Podiatric Medicine
  • 1.00 Florida Board of Respiratory Therapy
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