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Determination of favorable blood glucose target range for stochastic TARgeted (STAR) glycemic control in Malaysia

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dc.contributor.authorAbu-Samah A.en_US
dc.contributor.authorRazak N.N.A.en_US
dc.contributor.authorJamaludin U.K.en_US
dc.contributor.authorSuhaimi F.M.en_US
dc.contributor.authorRalib A.M.en_US
dc.contributor.authorid56719596600en_US
dc.contributor.authorid37059587300en_US
dc.contributor.authorid55330889600en_US
dc.contributor.authorid36247893200en_US
dc.contributor.authorid37031770900en_US
dc.date.accessioned2023-05-29T07:25:11Z
dc.date.available2023-05-29T07:25:11Z
dc.date.issued2019
dc.description.abstractStress-induced hyperglycemia is common in critically ill patients, but there is uncertainty about what constitutes an optimal blood glucose target range for glycemic control. Furthermore, to reduce the rate of hyperglycemic and hypoglycemic events, model-based glycemic control protocols have been introduced, such as the stochastic targeted (STAR) glycemic control protocol. This protocol has been used in the intensive care units of Christchurch and Gyul� Hospital since 2010, and in Malaysia since 2017. In this study, we analyzed the adaptability of the protocol and identified the blood glucose target range most favorable for use in the Malaysian population. Virtual simulation results are presented for two clinical cohorts: one receiving treatment by the STAR protocol itself and the other receiving intensive insulin therapy by the sliding scale method. Performance and safety were analyzed using five clinical target ranges, and best control was simulated at a target range of 6.0�10.0 mmol/L. This target range had the best balance of performance, with the lowest risk of hypoglycemia and the lowest requirement for nursing interventions. The result is encouraging as the STAR protocol is suitable to provide better and safer glycemic control while using a target range that is already widely used in Malaysian intensive care units. � 2019 Institute of Advanced Engineering and Science. All rights reserved.en_US
dc.description.natureFinalen_US
dc.identifier.doi10.11591/ijeecs.v15.i1.pp133-141
dc.identifier.epage141
dc.identifier.issue1
dc.identifier.scopus2-s2.0-85065960184
dc.identifier.spage133
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85065960184&doi=10.11591%2fijeecs.v15.i1.pp133-141&partnerID=40&md5=a0bac8aa2eb5da0331bdd61f3cd17f2b
dc.identifier.urihttps://irepository.uniten.edu.my/handle/123456789/24619
dc.identifier.volume15
dc.publisherInstitute of Advanced Engineering and Scienceen_US
dc.relation.ispartofAll Open Access, Hybrid Gold, Green
dc.sourceScopus
dc.sourcetitleIndonesian Journal of Electrical Engineering and Computer Science
dc.titleDetermination of favorable blood glucose target range for stochastic TARgeted (STAR) glycemic control in Malaysiaen_US
dc.typeArticleen_US
dspace.entity.typePublication
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