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Blog
Computerized Dosing
,
EndoTool
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Nursing
,
Obstetrics
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A Note to Nurses: Less Math and Paper = Better Care for Patients
All nurses deal with the prominent disease known as diabetes. It is a disease that effects all of us in one way or another. Either by family, friends, or co-workers, it has touched us all. As a hospital nurse for more than 20 years, I had not imagined that we could possibly manage our diabetic patients any way other than...
Computerized Dosing
EndoTool
Nursing
Obstetrics
DKA
,
EndoTool
/
Numerous Scenarios, One Software
The expression, “you can’t have your cake and eat it too,” is all too familiar to most, particularly in healthcare. When referencing a glucose management tool, rumor has it that a software should be used regularly, or, for treating “difficult” scenarios, but not always both. This thought process needs to be stopped. A software such as EndoTool Glucose Management System...
DKA
EndoTool
Computerized Dosing
,
EndoTool
,
Residual Insulin
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Does Your Computerized Glycemic Management System Incorporate EREI?
Even though the protocol for dosing insulin can be carefully calculated for the particular patient in need, what if that patient’s need for insulin changes quickly after the initial dose recommendation? This concept is not only unheard of, it is very common. Based on a wide range of factors, such as a patient’s activity level, meals consumed, and stress, a...
Computerized Dosing
EndoTool
Residual Insulin
A1C
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Diabetes
,
Glycemic Management
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Glycemic Targets Part 2: A1C
In last week’s blog, we explained the importance of patient self-monitoring of blood glucose (SMBG), and continuous glucose monitoring (CGM) for patients with diabetes. This week, we want to go over the A1C test, goals and recommendations, and the limitations of A1C testing. What is it? According to the National Institute of Diabetes and Digestive and Kidney Diseases, the A1C...
A1C
Diabetes
Glycemic Management
Diabetes
,
Glycemic Management
/
Glycemic Targets Part 1: SMBG & CGM
One of the most critical responsibilities of patients with diabetes is patient self-monitoring of blood glucose (SMBG). In order to assess glycemic levels, SMBG is available to caregivers and patients to evaluate the safety of the suggested glycemic management plan. It is not only important to check blood glucose levels, but continuous glucose monitoring (CGM) is essential to create a...
Diabetes
Glycemic Management
Diabetes
,
Insulin
/
Insulin 101: What You Need to Know
Let’s get back to the basics. Per the American Diabetes Association, insulin is a naturally occurring hormone secreted by the pancreas. Many people with type 1 diabetes are prescribed insulin because their bodies do not produce insulin, and insulin can be necessary for people with type 2 diabetes because their bodies do not use insulin properly. What are the routines?...
Diabetes
Insulin
EndoTool
,
Personalized Dosing
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Predictive Intelligence Behind EndoTool
Earlier this month, the blog titled ‘Innovative Thinking > Product Selling’ summarized the idea of selling a concept instead of selling a product. The article informed the reader that in order to sell an innovative technology, they have to not only change what executives think, but also how they think. When it comes to recommending an insulin dose for hospitalized...
EndoTool
Personalized Dosing
Diabetes
,
Hypoglycemia
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Risk of Hypoglycemia in Type 2 Diabetes
Hypoglycemia is a condition characterized by abnormally low blood glucose (blood sugar) levels, usually less than 70 mg/dL. This condition is recognized to be one of the main restrictions in achieving normal control in type 1 diabetes. Historically, the risk of hypoglycemia has been considered lower in type 2 diabetes, however, with the increasing use of insulin to treat type...
Diabetes
Hypoglycemia
Computerized Dosing
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EndoTool
,
Personalized Dosing
/
Innovative Thinking > Product Selling
Recently, an article written by Prashant Dedhia was shared on LinkedIn titled, Don’t sell a product, sell a whole new way of thinking. The mantra of selling an idea instead of a product is a concept often overlooked in healthcare. In order to sell innovative technology to executives, you have to not only change what those people think, but how...
Computerized Dosing
EndoTool
Personalized Dosing
Glycemic Management
/
Glucose Variability and Tight Glycemic Control
When it comes to glucose control, glucose variability, and the risk for hypoglycemia, often times they can be related. Even though reducing hyperglycemia and leveling HbA1c values of seven percent or less result in decreased risk of complications, the risk for hypoglycemia increases when glycemic control is tightened. Thus, hypoglycemia has been viewed as the barricade to tight glycemic control....
Glycemic Management
Hypoglycemia
,
Insulin
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Insulin: Lifesaver or Killer? Part 3
Strategies to Minimize Risk of Hypoglycemia We addressed the patient risks of severe hypoglycemia in the part 1 of this series and followed it with the clinical consequences of severe hypoglycemia in part 2. After looking at both scenarios, you may be thinking, how can hypoglycemia be treated and what can be done to minimize the risk of hypoglycemia?’ The...
Hypoglycemia
Insulin
Hypoglycemia
,
Insulin
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Insulin: Lifesaver or Killer? Part 2
Clinical Consequences of Severe Hypoglycemia In part 1 of this series, we described a scenario of a patient receiving intensive insulin therapy, and the most frequent critical complication to follow: hypoglycemia. Not only are there patient risks of severe hypoglycemia, there are clinical consequences as well. The clinical effects of hypoglycemia include: Hospital admissions – In a prospective study of...
Hypoglycemia
Insulin
Hypoglycemia
,
Insulin
/
Insulin: Lifesaver or Killer? Part 1
Patient Risks of Severe Hypoglycemia Edward Mason is an 18-year old male with a height of 175.26 cm (5’9) and a weight of 72.57 kg (160 lbs). Edward is admitted to the emergency department with severe abdominal pain, nausea, vomiting and weakness. He is hyperglycemic with no prior history of diabetes. After examination, Edward is diagnosed with diabetic ketoacidosis (DKA)...
Hypoglycemia
Insulin
Gestational Diabetes
,
Obstetrics
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Why Glycemic Control is Critical in the Labor and Delivery Unit
According to the American Diabetes Association (ADA), pregnant women who have never had diabetes before but who have high blood glucose (sugar) levels during pregnancy are said to have gestational diabetes. According to a 2014 analysis by the Centers for Disease Control and Prevention, the prevalence of gestational diabetes among U.S. women is as high as 9.2%. What causes this condition is not known, however,...
Gestational Diabetes
Obstetrics
Hypoglycemia
/
Symptoms of Hypoglycemia
According to the American Diabetes Association, hypoglycemia is a condition characterized by abnormally low blood glucose (blood sugar) levels, usually less than 70 mg/dL. Hypoglycemia can be caused from too much insulin, inadequate food intake or poor timing of meals, or exercise without adequate adjustments. There are three categories of hypoglycemia: mild, moderate and severe. Mild Hypoglycemia Mild hypoglycemia includes...
Hypoglycemia
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Case Study
Discover UPMC Central Pennsylvania's approach to a 92% reduction in hypoglycemia.
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