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dc.contributor.authorPoole, Alexis P
dc.contributor.authorAnstey, James
dc.contributor.authorBellomo, Rinaldo
dc.contributor.authorBiradar, Vishwanath
dc.contributor.authorDeane, Adam M
dc.contributor.authorFinfer, Simon R
dc.contributor.authorFinnis, Mark E
dc.contributor.authorFrench, Craig J
dc.contributor.authorKar, Palash
dc.contributor.authorKruger, Peter S
dc.contributor.authorMaiden, Matthew J
dc.contributor.authorMårtensson, Johan
dc.contributor.authorMcArthur, Colin J
dc.contributor.authorMcGuinness, Shay P
dc.contributor.authorSecombe, Paul J
dc.contributor.authorTobin, Antony E
dc.contributor.authorUdy, Andrew A
dc.contributor.authorEastwood, Glenn M
dc.date2018
dc.date.accessioned2019-09-02T23:25:35Z-
dc.date.available2019-09-02T23:25:35Z-
dc.date.issued2019-09
dc.identifier.citationAustralian critical care : official journal of the Confederation of Australian Critical Care Nurses 2019-09; 32(5): 361-365
dc.identifier.issn1036-7314
dc.identifier.urihttps://hdl.handle.net/10137/7773-
dc.description.abstractApproximately 9000 patients with type-2 diabetes mellitus (T2DM) are admitted to an intensive care unit (ICU) in Australia and New Zealand annually. For these patients, recent exploratory data suggest that targeting a more liberal blood glucose range during ICU admission may be safe and potentially beneficial. However, the current approach to blood glucose management of patients with T2DM in Australia and New Zealand ICUs is not well described, and there is uncertainty about clinician equipoise for trials of liberal glycaemic control in these patients. The aim is to describe self-reported blood glucose management in patients with T2DM by intensivists working in Australian and New Zealand ICUs and to establish whether equipoise exists for a trial of liberal versus standard glycaemic control in such patients. An online questionnaire of Australia and New Zealand intensivists conducted in July-September 2016. Seventy-one intensivists responded. Forty-five (63%) used a basic nomogram to titrate insulin. Sixty-six (93%) reported that insulin was commenced at blood glucose concentrations >10 mmol/L and titrated to achieve a blood glucose concentration between 6.0 and 10.0 mmol/L. A majority of respondents (75%) indicated that there was insufficient evidence to define optimal blood glucose targets in patients with T2DM, and 59 (83%) were prepared to enrol such patients in a clinical trial to evaluate a more liberal approach. A majority of respondents were uncertain about the optimal blood glucose target range for patients with T2DM and would enrol such patients in a comparative trial of conventional versus liberal blood glucose control.
dc.description.provenanceMade available in DSpace on 2019-09-02T23:25:35Z (GMT). No. of bitstreams: 0 Previous issue date: 2019-09en
dc.language.isoeng
dc.subjectAttitude
dc.subjectBlood glucose
dc.subjectCritical care
dc.subjectCritical illness
dc.subjectDiabetes mellitus
dc.subjectIntensive care units
dc.subjectSurveys and questionnaires
dc.subjectType 2
dc.titleOpinions and practices of blood glucose control in critically ill patients with pre-existing type 2 diabetes in Australian and New Zealand intensive care units.
dc.typeJournal Article
dc.identifier.journaltitleAustralian critical care : official journal of the Confederation of Australian Critical Care Nurses
dc.identifier.doi10.1016/j.aucc.2018.09.001
dc.identifier.pubmedidhttps://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed/30348487
dc.identifier.affiliationDiscipline of Acute Care Medicine, University of Adelaide, Australia; Department of Intensive Care, Royal Adelaide Hospital, Australia. Electronic address: Alex.Poole@sa.gov.au..
dc.identifier.affiliationDepartment of Intensive Care, Royal Melbourne Hospital, Australia..
dc.identifier.affiliationDepartment of Intensive Care, Austin Hospital, Australia..
dc.identifier.affiliationDepartment of Intensive Care, Lyell McEwin Hospital, Australia..
dc.identifier.affiliationDepartment of Intensive Care, Royal Melbourne Hospital, Australia..
dc.identifier.affiliationThe George Institute for Global Health, University of New South Wales, Sydney, Australia..
dc.identifier.affiliationDepartment of Intensive Care, Royal Adelaide Hospital, Australia..
dc.identifier.affiliationDepartment of Intensive Care, Western Health, Australia..
dc.identifier.affiliationDiscipline of Acute Care Medicine, University of Adelaide, Australia; Department of Intensive Care, Royal Adelaide Hospital, Australia..
dc.identifier.affiliationDepartment of Intensive Care, Princess Alexandra Hospital, Australia; School of Medicine, University of Queensland, Australia..
dc.identifier.affiliationDepartment of Intensive Care, Geelong Hospital, Australia..
dc.identifier.affiliationDepartment of Intensive Care, Austin Hospital, Australia..
dc.identifier.affiliationDepartment of Critical Care Medicine, Auckland District Health Board, Australia..
dc.identifier.affiliationCardiothoracic and Vascular Intensive Care and High Dependency Unit, Auckland District Health Board, Australia..
dc.identifier.affiliationDepartment of Intensive Care, Alice Springs Hospital, Australia..
dc.identifier.affiliationDepartment of Intensive Care, St Vincent's Hospital, Melbourne, Australia..
dc.identifier.affiliationDepartment of Intensive Care, The Alfred Hospital, Australia..
dc.identifier.affiliationDepartment of Intensive Care, Austin Hospital, Australia..
dc.identifier.pubmedurihttps://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed/30348487
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