Glycemic control outcomes of manual and computerized insulin titration protocols

Glycemic Control Through Computerized Subcutaneous Insulin Calculators

Sliding scale insulin (SSI) is a reactive therapy and does not maintain euglycemia in hospitalized patients. A combination of basal insulin, prandial insulin, and correction factor dosing provides a more consistent insulin state encouraging improved glycemic control. Intermountain Healthcare developed an application consisting of four calculators incorporating scheduled (basal and prandial) and...

Cheryl Dumont and Cheryl Bourguignon Glycemic Control Effect of a Computerized Insulin Dose Calculator

Effect of a computerized insulin dose calculator on the process of glycemic control.

BACKGROUND Glycemic control is important to patients' outcomes. However, the process of maintaining glycemic control is risk laden and labor intensive for nurses. OBJECTIVES To examine the effects of using a computerized insulin dose calculator to facilitate management of glycemic control for critically ill cardiac patients. METHODS A prospective randomized controlled trial was conducted wi...

Comparison of protocols for glycemic control COMPARISON OF THREE PROTOCOLS FOR TIGHT GLYCEMIC CONTROL IN CARDIAC SURGERY PATIENTS

1 Department of Anaesthesia, Resuscitation and Intensive Medicine, Charles University in Prague, 1 st Faculty of Medicine and General University Hospital, Prague, Czech Republic 2 Institute of Metabolic Science, University of Cambridge, Cambridge, UK 3 Department of Anaesthesiology and Resuscitation, Institute for Clinical and Experimental Medicine, Prague, Czech Republic 4 Department of Cardio...

The association of preoperative glycemic control, intraoperative insulin sensitivity, and outcomes after cardiac surgery.

CONTEXT The impairment of insulin sensitivity, a marker of surgical stress, is important for outcomes. OBJECTIVE The aim was to assess the association between the quality of preoperative glycemic control, intraoperative insulin sensitivity, and adverse events after cardiac surgery. DESIGN AND SETTING We conducted a prospective cohort study at a tertiary care hospital. SUBJECTS Nondiabetic...