INS and Hyperglycemia: Controlling stress hyperglycemia in trauma patients has been shown to improve mortality (van den Berghe et al. 2001; Sung et al. 2005; Vogelzang et al. 2006; Egi et al. 2011), but can be challenging due to insulin resistance and increased risk of hypoglycemic episodes (Collier et al. 2008; Li and Messina 2009).