Terry P. Clemmer, MD, Director Critical Care Medicine, LDS Hospital;
Michael E. Westley, MD, Medical Director of Critical Care, Virginia Mason Medical Center

      The importance of and controversy around tight glucose control in the ICU will be discussed using the known literature and personal experience. Tools and methods for implementing a tight glucose control program will be presented along with demonstrated results.
      After this presentation you will be able to:

• Discuss the importance and controversy around the literature andprocesses regarding tight glucose control in the ICU.
• Describe key elements in implementing tight glucose control, including the integration of medications, feeding, disruptions, and other barriers.
• Apply methods to maintain glucose control during the transition phases of start-up and from IV to SQ regimens.