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Improving Iv Insulin Administration In A Community Hospital

Summary When compared to the previous paper protocol, implementation of a computerized glucose management system results in a substantial increase in blood glucose concentration measurements within the target range. Using a computerized glucose management system to monitor blood glucose levels, decreases in severe hypoglycemia (<40 mg/dL), clinical hypoglycemia (<70 mg/dL), and hyperglycemia (>180 mg/dL) also can be observed. Cite this Article Copy Citation Magee, M. C. Improving IV Insulin Administration in a Community Hospital. J. Vis. Exp. (64), e3705, doi:10.3791/3705 (2012). Abstract Diabetes mellitus is a major independent risk factor for increased morbidity and mortality in the hospitalized patient, and elevated blood glucose concentrations, even in non-diabetic patients, predicts poor outcomes.1-4 The 2008 consensus statement by the American Association of Clinical Endocrinologists (AACE) and the American Diabetes Association (ADA) states that "hyperglycemia in hospitalized patients, irrespective of its cause, is unequivocally associated with adverse outcomes."5 It is important to recognize that hyperglycemia occurs in patients with known or undiagnosed diabetes as well as Continue reading >>

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Popular Questions

  1. billymild

    Type 1 What are the chances I pass it to my kids?

    Has there been any research on this? No one else in my family has type 1 so it was odd when i was diagnosed with it. I was curious how common it is to pass it along. I was dx when I was 20 years old. Auto immune diseases run in my family.

  2. Richard157

    The following material is an excerpt from Chapter 20 in my book:
    "Family members of a Type 1 diabetic are less likely to have diabetes than the family members of a Type 2. None of my family members or relatives have ever been diagnosed with Type 1 diabetes. I have had several relatives with Type 2 diabetes, but none with Type 1. There was a large study of families with Type 1 diabetes. The study revealed that less than 4% of parents and 6% of siblings of a person with Type 1 diabetes also had Type 1 diabetes. Children of a Type 1 diabetic father are more likely to become Type 1 than children of a Type 1 diabetic mother.
    Diabetic parents are always concerned about the genetic transmission of Type 1 diabetes, the odds for Type 1 being passed on to a child.
    According to the Islets Of Hope website, the children of a Type 1 father have a 6% chance of becoming Type 1. It is also noted that if either parent was diagnosed before they were 11 years old, the risk is doubled. Since I was diagnosed when I was 6, my sons have an approximately 12% chance of becoming Type 1. The ages of my sons are now 41 and 43 and they do not have diabetes at this time. The odds that they will never be Type 1 are definitely in their favor.
    If a Type 1 mother has a child before she is 25 years old then there is a 4% risk that her child will become Type 1. If a Type 1 mother has a child when she is 25 or older there is only a 1% risk that her child will become Type 1.
    A child that has a parent or sibling with Type 1 diabetes has a 2 to 6% risk of developing the disease. The risk is higher if both a parent and sibling have Type 1 diabetes.
    It is important to note that 80% of people with Type 1 diabetes do not have another relative with Type 1 diabetes. It is also important to realize that many people have the genetic predisposition for Type 1 diabetes, but never get the disease.
    Research has shown that breastfeeding a baby at least three months decreases the risk of Type 1 diabetes."

  3. furball64801

    Richard covered this very well, his knowledge on this subject is fabulous.

  4. -> Continue reading
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