Insulin sensitivity and blood glucose level of sepsis patients in the intensive care unit

M. Suhaimi, Fatanah and Jamaludin, Ummu K. and Abdul Razak, Normy Norfiza and Mat Nor, Mohd Basri and Md Ralib, Azrina and Wan Muhd Shukeri, Wan Fadzlina and Hasan, Mohd Shahnaz and Abu-Samah, Asma and Azman, Nizuwan (2019) Insulin sensitivity and blood glucose level of sepsis patients in the intensive care unit. In: 2018 IEEE EMBS Conference on Biomedical Engineering and Sciences, IECBES 2018, 3 - 6 December 2018, Borneo Convention Centre, Kuching Sarawak..

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Abstract

Sepsis and hyperglycemia are highly associated with increases in mortality rates, particularly in the critically ill patients. Sepsis diagnosis has been proven challenging due to delay in getting the blood culture results. Thus, often clinical experiences overrule the protocol to prevent the worsening outcome of the patients. In some cases, the erroneous clinical judgement cause antibiotic resistance and even adverse clinical outcomes. This paper investigates the correlation between two parameters; insulin sensitivity and blood glucose level among sepsis patients. The blood glucose level is measured at the bedside during the patient's stay, whereas insulin sensitivity is obtained using the validated glucose-insulin model. Thus, the insulin sensitivity is a specific parameter of the patient, unregimented of the protocol given to the patient. The same parameters, blood glucose and insulin sensitivity, are also compared to the non-sepsis patients to establish a relationship that can be used for sepsis diagnosis. Given the availability of these two parameters that can be captured rapidly and instantly, a significant relationship can, therefore, help clinicians to identify sepsis at an early stage without second-guessing.

Item Type:	Conference or Workshop Item (Plenary Papers)
Additional Information:	5608/72691
Uncontrolled Keywords:	Glycemic control; ICU; Insulin sensitivity; Sepsis
Subjects:	R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Anaesthesiology & Intensive Care
Depositing User:	Dr. Mohd Basri Mat Nor
Date Deposited:	18 Jun 2019 11:54
Last Modified:	18 Jun 2019 11:54
URI:	http://irep.iium.edu.my/id/eprint/72691

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