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Table 2 Baseline characteristics, interventions used and glucometrics of patients reaching an average glycemia ≤110 mg/dl versus those with an average glycemia >110 mg/dl

From: A comparison of two insulin infusion protocols in the medical intensive care unit by continuous glucose monitoring

 

Avg glyc ≤ 110 mg/dl

Avg glyc >110 mg/dl

Statistics

Number of patients

19

38

 

Patient demographics

   

 Men/women

8/11

22/16

NS

 Diabetic status (no/type1/type2)

14/1/4

23/4/11

NS

 Age (years)

65 ± 11

63 ± 12

NS

 BMI (kg/m2)

26.3 ± 3.8

27.1 ± 6.1

NS

Severity of illness

   

 APACHE-II score

27 ± 6

28 ± 7

NS

 SOFA score

10 ± 4

10 ± 3

NS

Clinical interventions

   

 Mechanical ventilation

14

31

NS

 Vasopressor therapy

12

23

NS

 Hemodialysis

5

9

NS

 No/total parenteral/enteral feeding

4/6/9

13/11/14

NS

 Glucocorticoids

15

12

0.01

 Antibiotics

17

29

NS

Protocol (Leuven/Yale)

7/12

15/23

NS

Insulin dose

   

 Day 1 (units)

62 (33–133)

63 (39–128)

NS

 Day 2 (units)

67 (23–101)

70 (42–120)

NS

Glucose parameters

   

 HbA1c (%)

6.1 (5.6–6.7)

6.0 (5.8–6.9)

NS

 HbA1c (mmol/mol)

43 (38–50)

70 (42–120)

NS

 Median glycemia (mg/dl)

104 (100–108)

128 (119–141)

<0.0001

 % of time at glycemia

   

  <60 mg/dl

5 (0–8)

0 (0–4)

0.067

  80–110 mg/dl

41 ± 14

27 ± 13

0.001

  >150 mg/dl

6 ± 6

28 ± 18

<0.0001

  >200 mg/dl

1 ± 2

10 ± 16

0.017

  60–150 mg/dl

89 ± 11

69 ± 19

<0.0001

  70–180 mg/dl

86 ± 14

80 ± 19

NS

 Nr of art blood glc measurements/day

10 ± 3

10 ± 4

NS

 Glucose variability parameters

   

  SD (mg/dl)

25 (20–36)

38 (29–63)

0.003

  Coefficient of variation (%)

25 (20–33)

29 (23–44)

NS

  IQR

33 (27–55)

45 (35–76)

0.031

  MAGE (mg/dl)

50 (34–72)

60 (43–100)

0.085

  MODD (mg/dl)

29 (22–45)

42 (32–76)

0.005

  M-100

2 (1–4)

6 (4–14)

0.001

  CONGA1 (mg/dl)

15 (12–19)

21 (15–35)

0.008

  CONGA2 (mg/dl)

22 (17–28)

32 (20–48)

0.010

  CONGA4 (mg/dl)

29 (18–43)

42 (27–69)

0.011

  LBGI

2.7 (0.9–3.8)

0.7 (0.2–1.9)

0.001

  HBGI

0.3 (0.2–1.1)

2.0 (1.4–4.5)

<0.0001

  Glucose variability

21 (17–28)

36 (29–53)

<0.0001

  1. Data are presented as numbers, as mean ± SD or median (25–75th percentile)
  2. LOS in ICU length of stay in ICU, IQR interquartile range, MAGE mean amplitude of glycemic excursions, MODD mean of daily differences, LBGI low blood glucose index, HBGI high BGI