Review Article

Stress Hyperglycemia, Insulin Treatment, and Innate Immune Cells

Table 2

Comparison of intensive and moderate insulin treatment.

IntensiveModerate

TargetBlood glucose: 110 mg/dL [1]Blood glucose: 120–150 mg/dL [33, 59]

Advantages(1) Improves wound healing in burned patients [54]
(2) Reduces urinary tract infections and sepsis in burned pediatric patients [55]
(3) Reduces morbidity and mortality [1]
(1) Does not induce hypoglycemia [60]
(2) Scarce hyperglycemia episodes [60]
(3) Low glucose variability [60]

Disadvantages(1) Requires continual and critical monitoring [54]
(2) No overall impact on hospital or ICU length of stay [54]
(3) More episodes of hypoglycemia [58]
No significant impact on mortality and multiorgan failure [60]