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Table 1 Baseline characteristics and outcomes for all diabetic patients and according to peak blood glucose level

From: Prevalence of ketosis, ketonuria, and ketoacidosis during liberal glycemic control in critically ill patients with diabetes: an observational study

Characteristic

All patients

Peak BGL ≥10 mmol/l

Peak BGL <10 mmol/l

P value

Number of patients

60 (100)

46 (77)

14 (23)

 

Age, years

66 (60, 74)

65 (56, 71)

74 (65, 80)

0.02

Female sex, n (%)

17 (28)

15 (33)

2 (14)

0.31

Weight, kg (n = 58)

84 (74, 100)

84 (78, 104)

83 (74, 100)

0.39

BMI, kg/m2 (n = 40)

31 (27, 34)

32 (28, 35)

28 (24, 31)

0.11

APACHE III score

60 (46, 76)

59 (46, 75)

62 (48, 79)

0.71

Type 1 diabetes, n (%)

3 (5)

3 (7)

0

 

Type 2 diabetes, n (%)

57 (95)

43 (93)

14 (100)

1.00

Type 2 diabetes treatment, n (%)

   

0.007

 Diet only

8 (13)

5 (11)

6 (43)

 

 Oral agent(s) only

25 (42)

18 (39)

7 (50)

 

 Insulin only

11 (18)

10 (22)

1 (7)

 

 Insulin + oral agent(s)

13 (22)

13 (28)

0

 

Non-operative admission diagnosis, n (%)

   

0.59

 Cardiovascular

6 (10)

5 (26)

1 (14)

 

 Sepsis

6 (10)

5 (26)

1 (14)

 

 Respiratory

6 (10)

3 (16)

3 (43)

 

 Renal/metabolic

6 (10)

5 (26)

1 (14)

 

 Other

2 (3)

1 (5)

1 (14)

 

Operative admission diagnosis, n (%)

   

0.09

 Cardiovascular

25 (42)

20 (74)

5 (71)

 

 Gastrointestinal

6 (10)

6 (22)

1 (14)

 

 Other

3 (5)

1 (4)

1 (14)

 

HbA1c on ICU admission, %

6.7 (6.0, 7.7)

7.0 (6.2, 7.8)

6.2 (5.9, 6.5)

0.009

Blood glucose on ICU admission, mmol/l

9.3 (7.6, 12)

10 (7.8, 13)

8.1 (7.4, 9.0)

0.01

Blood ketones on ICU admission, mmol/l

0.3 (0.1, 0.8)

0.3 (0.1, 0.8)

0.4 (0.2, 0.6)

0.99

Ketosis on ICU admission, n (%)

23 (39)

17 (38)

6 (43)

0.12

Ketonuria on ICU admission, n (%) (n = 57)

8 (14)

6 (13)

2 (17)

0.09

Lactate on ICU admission, mmol/l

1.6 (1.1, 2.3)

1.7 (1.2, 2.7)

1.2, (1.0, 2.0)

0.06

Hematocrit on ICU admission, %

27 (25, 31)

27 (25, 29)

32 (27, 35)

0.07

Alkalosis on ICU admissiona, n (%)

7 (12)

7 (15)

0

 

Catecholamine infusion on ICU admission, n (%)

23 (38)

21 (46)

2 (14)

0.06

Nutrition on ICU admission, n (%)

6 (10)

6 (13)

0

 

Acute liver failure, n (%)

3 (5)

2 (4)

1 (7)

0.56

Chronic alcohol abuse, n (%)

4 (7)

3 (7)

1 (7)

1.00

Acute alcohol intoxication, n (%)

1 (2)

1 (2)

0

 

ICU length of stay, days

3.7 (2.2, 6.2)

3.7 (2.3, 6.9)

3.4 (2.1, 3.8)

0.26

Hospital length of stay, days

11 (6.7, 24)

11 (7.2, 23)

13 (5.4, 24)

0.86

ICU mortality, n (%)

5 (8)

4 (9)

1 (7)

0.85

Hospital mortality, n (%)

6 (10)

5 (11)

1 (7)

0.68

  1. Values are median (IQR) or n (%)
  2. BGL blood glucose level, BMI body mass index, APACHE Acute Physiology and Chronic Health Evaluation, ICU intensive care unit
  3. apH >7.45