The Dangerous Reactions 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 which include: mild, moderate, and severe. read more…

Diabetes – Fact or Fiction?

With diabetes rates unfortunately on the rise, so are the myths surrounding the disease. Anyone involved with diabetes patient care must be able to separate fact from fiction.  Below, are some of the common truths and misconceptions about diabetes.

Today, most patients with diabetes go on to live normal lives.
False. Per the American Diabetes Association, every year there are more diabetes related deaths than breast cancer and AIDS combined. Many are due to severe medical complications associated with the disease. For example, in 2010, hospitalization rates for heart attacks were 1.8 times higher among adults with diagnosed diabetes than those without diabetes.

More than 25% of diabetes cases remain undiagnosed.
True. According to The National Diabetes Statistics Report, 29.1 million people or 9.3% of the U.S. population have diabetes. In addition, 27.8% of diabetes cases, or 8.1 million people, are undiagnosed. read more…

How Better Care Drives Value

Better Care can be Cheaper Care | EndoTool Glucose Management SystemOne of the most perplexing concerns with which every hospital executive must grapple is how to stop the loss of money wasted on surgery and other clinical procedures. A recent report published in the Journal of Neurosurgery conducted by the University of California in San Francisco suggested several areas where supplies, and therefore money, were wasted.

The report looked at 58 neurosurgeries performed by 14 different surgeons at UCSF Medical Center. Across the 36 cranial and 22 spinal procedures, the average cost of unused supplies was $653. This represented 13.1 percent of the total cost of surgical supplies. This results in $242,968 per month and $2.9 million per year of wasted resources.

Medical Supplies vs. Personnel Costs

While the amount of hospital resources wasted on medical supplies is relatively easy to calculate, the more insidious expenses – clinical personnel costs – are more difficult to quantify. However, when a Roanoke, Virginia hospital set out to improve patient outcomes by standardizing insulin dosing protocols, the facility discovered substantial savings by mechanizing this process. read more…

How the Treatment of Diabetic Ketoacidosis Has Improved

Nurse adjusting IV drip | EndoTool Glucose Management System

For patients with type 1 diabetes, one of the most serious medical emergencies is diabetic ketoacidosis (DKA). It can be life-threatening and, in most cases, is caused by a shortage of insulin.

Glucose is the “fuel” which feeds human cells. Without it, these cells are forced to “burn” fatty acids in order to survive. This process leads to the production of acidic ketone bodies which can cause serious symptoms and complications such as passing out, confusion, vomiting, dehydration, coma, and, if not corrected in a timely manner, even death. High levels of ketones poison the body. read more…

How Mathematics is Enabling Patient-Specific Healthcare


Anyone who has ever entered a phrase in the search box of Google and seconds later received direct links to millions of highly-specific references to that phrase, has experienced the power of algorithms. Algorithms are also used in almost every service and product which requires data computation – social networks such as Facebook, online retailers such as Amazon, smart phones, and WiFi systems, to name a few.

According to an article from the University of Utah Health Sciences Center – “Algorithms are Changing Healthcare”– the next frontier for harnessing the power of data to predict outcomes will be in the delivery of healthcare.  This trend towards the use of algorithmically based systems is fundamentally changing the way medicine is (and will be) practiced, and it represents a confluence of engineering, clinical medicine, and physiology.  It is also the foundation of Monarch Medical Technologies’ glucose management software – EndoTool.

An Expert on Mathematics and Healthcare

Geoff1In an effort to shed some light on this medical “mega-trend” of algorithmically-based healthcare, Dr. Geoff Chase, a Distinguished Professor at the University of Canterbury in New Zealand and a member of the medical advisory board of Monarch Medical Technologies, was asked to offer his insights as to how mathematics is affecting medicine.

“Everything I do is about modeling non-linear, dynamic systems,” he noted in a recent interview. “I work to understand the data that govern their behavior and use that knowledge to design models to solve whatever problems they are encountering.

Dr. Chase has applied his engineering expertise among a wide-range of high-profile companies and he has done pioneering work on model-based therapeutics.

“In my opinion, modern healthcare has a ‘manufacturing’ problem, not unlike what I dealt with at General Motors. We need better efficiencies in its delivery and this can only occur when we employ the tremendous advances in computer technology. What I did in my early years – making models for the manufacture of automobiles – I now do in the area of metabolic systems.”

read more…

Save Your Hospital Money – Here’s How


According to the National Diabetes Statistics Report by the Center for Disease Control and Prevention, Hyperglycemia and diabetes in the hospital setting affect 38% to 46% of non-critically ill hospitalized patients. With diabetes and hyperglycemia increasing in our society, increased morbidity, length of stay in the ICU and in the hospital, and higher infection rates and more ventilator days also continue to skyrocket. read more…

Effective Glucose Management in Therapeutic Hypothermia Can Save Patient Neurological Function


Inducing mild hypothermia in some patients with cardiac arrest and other traumatic events has proven to significantly improve their long-term neurological function. Many experts feel that this is one of the most important advancements in the history of the science of resuscitation. According to Dr. Jonathan Adler, writing in Medscape, patients who have been shown to benefit from induced hypothermia include the following:

  • Intubated patients with treatment initiated within 6 hours after cardiac arrest
  • Patients able to maintain a systolic blood pressure >90 mm Hg after CPR
  • Patients in a coma at the time of cooling

When this therapy is used in critical care or the operating room, glucose management is critical to its efficacy, a fact that is appreciated by Tracey Melhuish, Clinical Practice Specialist Critical Care and Sepsis Coordinator and the person responsible for critical care at the 571-bed Holy Cross Hospital in Florida. In response to the challenges of using induced hypothermia as a critical therapy, Ms. Melhuish chose to use EndoTool, a glucose management software for these vulnerable patients.

read more…

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