Good control is not needed?

[steveamos1234]

Couldn't disagree more but interested to know what others think:

http://www.medscape.com/viewarticle/737347

Seems the link above needs a login (no idea why as I came across it via Google). Text below:

February 14, 2011 — The American College of Physicians (ACP) has issued a new clinical guideline for glycemic control in hospitalized patients that discourages the use of intensive insulin therapy (IIT). The guideline is based on a systematic review, which concluded: "No consistent evidence demonstrates that IIT targeted to strict glycemic control compared with less strict glycemic control improves health outcomes in hospitalized patients. Furthermore, IIT is associated with increased risk for severe hypoglycemia."

(Text removed for Copyright reasons)

 

[steveamos1234]

OK understand about the copyright issues, also reading it again it's not as bad as I first thought.

 

[HLW]

'in hospitalised patients'
not in general people with diabetes. I'd assume this makes a difference, for example, who is in control of the insulin with hospitalised patients - the patient or a nurse? I'm sure there are other factors at work too, but can't be bothered to think of them tbh. Also what is their definition of strict control?