الفهرس 
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Abstract
H
yperglycemia is common complication in postoperative patients admitted to intensive care units, whether a patient has a history of diabetes or not. Hyperglycemia has been associated with increased perioperative morbidity and mortality
The aim of this study is to compare between outcome of euglycemia and mild hyperglycemia in postoperative patients admitted to ICU. And achieving the optimal target range for blood glucose in postoperative patients.
We conducted our prospective study on 70 postoperative patients admitted to ICU with blood glucose above 180mg/dl we managed all of them with intravenous insulin with 2 different blood glucose level targets.
group one with euglycemic control aimed blood glucose level between 110 mg/dl to 140 mg/dl. group two with mild hyperglycemia aimed blood glucose level target between 140 mg/dl to 180 mg/dl.
We collected the patients data on admission their past history, vital signs, laboratory investigations and we managed all patients with intravenous insulin to the predetermined target ranges till improvement of the patients blood glucose control and discharge from ICU.
Data and results of the both groups outcomes analyzed and compared for incidence of associated complications, electrolytes disturbances, surgical site infection, length of stay at ICU and mortality rate.
We found in our study that euglycemic control didn’t significantly reduce the postoperative complications and improve the patients outcome in comparison to the mild hyperglycemic group.
We also found that there is a mild lower rates of complications in non diabetic patients on euglycemic control compared with those non diabetics treated with mild hypoglycemic targets.
CONCLUSION
I
n our prospective study to compare between effects of euglymic control versus mild hyperglycemia we found that there is no significant difference in patients outcomes between patients controlled at target range 110 mg/dl to 140 mg/dl in comparison to the controlled group between blood glucose range 140mg/dl to 180 mg/dl in postoperative patients admitted to ICU
However there is less complications rates in non diabetics with euglycemic control group in comparison to non diabetics in group two (mild hyperglycemia).
The optimal target for blood glucose level is a wide range from 110 mg/dl up to 180 mg/dl.
RECOMMENDATIONS
W
e recommend to maintain closely monitor and control of hyperglycemia in postoperative patients as it is a strong risk factor for infection and complications.
The target range for blood glucose level for postoperative patients admitted to ICU is between 110mg/dl to 180 mg/dl