Comparing Two Intravenous Insulin Protocols for Blood Sugar Control in Critically Ill Diabetic Adults in ICU

What this Trial Is About

Researchers are comparing two protocols for intravenous insulin infusion to improve blood sugar control in diabetic critically ill adults admitted to intensive care units at Suez Canal University SCU hospitals. The study aims to find out whether the SCU protocol is more effective than the National Health System NHS protocol used in the UK for managing blood glucose levels in these patients. This comparison will help determine the best way to control blood sugar in critically ill diabetic adults. Participants will be randomly assigned to one of two groups one group will follow the SCU insulin infusion protocol, while the other will follow the NHS protocol. Both groups will receive regular insulin through an intravenous infusion, with doses adjusted according to their assigned protocol and blood sugar levels. Nurses will prepare and monitor the insulin infusion carefully, stopping it if blood sugar falls below 80 mgdl. Potassium levels will be regularly checked and managed based on specific guidelines during the study. During the study, patients will have routine blood tests, including daily checks and more frequent potassium monitoring if needed. Researchers will collect information on their medical history, nutrition, mechanical ventilation duration, and any complications like diabetic ketoacidosis or hypoglycemia. Outcomes such as time to reach target blood glucose, ventilator-free days, ICU and hospital stay lengths, and mortality rates will be evaluated. The study will last up to 28 days, with ongoing assessments to monitor patients progress and safety.

Comparing Efficacy Between Two Protocols of Intravenous Insulin Infusion for Diabetic Adults in ICU