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Diabetes
,
Glycemic Management
,
The Joint Commission
/
Patients With Diabetes: Take Control of Your Inpatient Glucose Management
If you’re a patient with diabetes, you are accustomed to managing diabetes and maintaining appropriate blood sugar levels on a daily basis. Many people with diabetes have mastered the principles of glucose management and successfully put them into practice every day. When you’re receiving medical care, don’t let this positive attitude stop at the hospital door. Visiting a hospital using...
Diabetes
Glycemic Management
The Joint Commission
Guidelines and Standards
,
Society of Hospital Medicine
/
Society of Hospital Medicine Workbook is Great Resource for Inpatient Glycemic Management
The Society of Hospital Medicine (SHM) recognizes the importance of successful glycemic control in hospitalized patient populations as well as the unfortunate gap in best practice and standard procedures in most hospitals today. Further, it recognizes that hypoglycemia is a common outcome of current attempts to control hyperglycemia in inpatient settings. SHM provides a step-by-step guide for addressing these issues...
Guidelines and Standards
Society of Hospital Medicine
EndoTool
,
Residual Insulin
/
The Importance of Managing Residual Insulin
While dosing protocols may be carefully calculated, a hospitalized patient’s need for insulin may change quickly based on a wide range of factors. Insulin therapy must follow suit. Compared to paper protocols and lookup tables, computerized insulin management solutions enhance ease of use and accuracy. However, many computerized systems rely on the same imprecise protocols as manual methods and fall...
EndoTool
Residual Insulin
Hyperglycemia
/
Paying Attention to Hyperglycemia in Hospitalized Patients
Hyperglycemia, or high blood sugar, can negatively affect hospitalized patients who fail to produce sufficient insulin to metabolize the sugar contents of their blood. Aside from patients with diabetes, hyperglycemia can result from medical conditions. Stroke or myocardial infarction (heart attack) patients, patients who have problems with the thyroid, adrenal, pituitary gland, pancreas, and patients who undergo major surgeries may...
Hyperglycemia
Hypoglycemia
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Hypoglycemia: How Low Can You Go?
How low can you go? When it comes to sugar levels and you begin to experience hypoglycemic symptoms, it depends who you ask. 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. While the Endocrine Society classifies hypoglycemia as a clinically low blood glucose level accompanied...
Hypoglycemia
Hyperglycemia
,
Hypoglycemia
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Blood Sugar Levels: Hyperglycemia and Hypoglycemia Defined
Hyperglycemia. Hypoglycemia. What’s the difference? What’s the significance? Hyper, derived from Greek, means above, or in excess, while glyc denotes sweet, and mia means in the blood. Together, they mean too much glucose in the blood. Hypo, also Greek, means less than normal or deficient, in this case too little glucose in the blood. Both conditions are commonly associated with diabetes...
Hyperglycemia
Hypoglycemia
Cost Savings
,
Glycemic Management
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Managing Blood Glucose Properly Can Save Big Bucks
In hospitalized patients, managing blood glucose levels is a complex and sometimes controversial issue. For about 20 percent of the hospitalized population, hyperglycemia (excess blood sugar) has a significant detrimental impact, which includes increased mortality. This also correlates with increased morbidity, negative outcomes, increased length of stay in the ICU and in the hospital. Additionally, it is associated with higher...
Cost Savings
Glycemic Management
EndoTool
,
IV Insulin Dosing
,
Transition IV to SubQ
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A Community Hospital Conquers Hyperglycemia and Becomes a Best Practice Site
Concerned about its inability to stabilize glucose levels in its most acutely ill patients, Wilson Memorial Hospital, a 71-bed community hospital, engaged a well-known glycemic benchmarking service. The service found the hospital in the lowest quartile of benchmarked hospitals nationwide. Knowing that hyperglycemia correlates with poor clinical outcomes and mortality in patients with and without a history of diabetes, naturally...
EndoTool
IV Insulin Dosing
Transition IV to SubQ
Glycemic Management
/
Location in Hospital Plays Large Part in Glycemic Control
High blood sugar can result from hypothermia, which may be induced to improve neurologic outcome in unconscious patients. Certain patient populations, such as post-cardiac and post-cardiothoracic surgery, in particular, are particularly vulnerable to the effects of hyperglycemia. The evidence of a link between hyperglycemia and increased morbidity and mortality began emerging as early as the mid-1980s. While the results of...
Glycemic Management
EndoTool
,
Hypothermia
,
IV Insulin Dosing
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Hospital Successfully Combats Hyperglycemia in Hypothermia Patients Using EndoTool
Named one of the 100 Top Cardiovascular Hospitals in the nation, Holy Cross Hospital is a 571-bed hospital in seaside Broward County, Florida. Embracing a strategic intervention for unconscious cardiac arrest, brain injury and stroke patients, Holy Cross successfully introduced a hypothermia program. This program reduces core body temperature below 94° F [35° C] to improve neurologic recovery. However, such a...
EndoTool
Hypothermia
IV Insulin Dosing
Cost Savings
,
DKA
,
EndoTool
,
Hyperglycemia
,
Hypoglycemia
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How Glucose Control Can Save Hospitals Money
How would you like to save your hospital almost $75,000 a year in potentially unreimbursed expenses? This was the realization Wilson Memorial Hospital, a 71-bed hospital in western Ohio, made when it decided it needed to find a better way to control blood glucose levels across the hospital. In 2007, Remote Automated Laboratory System, a glycemic benchmarking service, reported that...
Cost Savings
DKA
EndoTool
Hyperglycemia
Hypoglycemia
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Case Study
Discover UPMC Central Pennsylvania's approach to a 92% reduction in hypoglycemia.
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