Pratique du contrôle glycémique en réanimation et charge de travail infirmier

Following the publication of the spectacular effects of tight glucose control by intensive insulin therapy in 2001, the glycemic targets have been lowered. The practical aspects of this policy are reviewed here. The effects of tight glucose control on the risks of hypoglycaemia and on the nursing workload are discussed as well. These latter issues, and the lack of confirmation of the external validity of the landmark 2001 study, lead to the adoption of an intermediate glucose target by the majority of intensivists.