Effects of a Complete Diet in Critically Ill Patients With Stress Hyperglycemia

Exclusion Criteria

• •Patients with a life expectancy less than 48 hours.
• •Patients participating in another study.
• •Patients with APACHE II (Acute Physiology and Chronic Health Evaluation) less than 10.
• •Patients with BMI (body mass index) \> 40 Kg/m2.
• •Patients with Type I Diabetes.
• •Patients on chronic treatment with corticosteroid dose above 1 mg / kg / day of methylprednisolone or equivalent.
• •Pregnant patients.
• •Patients taking lipid-lowering drugs.
• •Acute renal failure patients, defined by the following criteria:
• •* Serum creatinine greater than 4 mg / dL with acute rise higher than 0.5 mg / dl / day.
• •* Serum creatinine higher than 3 mg/dL.
• •* Diuresis \< 0.3 ml/kg/h during 24 hours.
• •* Anury for 12 hours or more.
• •Hepatic failure patients, defined by the following parameters:
• •* Serious acute hepatic failure.
• •* Child degrees B-C.
• •* Serum bilirubin higher than 3 mg/dL.
• •Patients with parenteral nutrition during study inclusion.
• •Informed consent absence.