Strict blood glucose control with insulin may reduce the risk of postoperative renal impairment and renal failure after cardiac surgery, data suggest.


Bruno Van Vlem, MD, PhD, of OLV-Hospital in Aalst, Belgium, and his colleagues compared two groups of patients undergoing coronary artery bypass graft surgery.

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Group A, with 305 patients, had standard glucose management, and group B, with 396 patients, had strict glucose control (80-130 mg/dL during surgery and 80-110 mg/dL in the ICU). Following surgery, 4.3% of group A required acute postoperative dialysis compared with 1.3% of group B.