
Personalized Intravenous Insulin Therapy to Achieve the Safest Patient Outcomes
For patients in the critical care setting, intravenous insulin is the recommended method of achieving target glucose levels. The problem is, intravenous insulin protocols can be difficult to follow and time consuming for nursing staff, especially if paper-based. To avoid errors and ensure patients receive the safest insulin dose requires a systematic approach.



ENDOTOOL IV IS PRECISION INSULIN DOSING SOFTWARE
Improves Compliance and Reduces Risks Surrounding Insulin Dosing
EndoTool IV offers a straightforward software solution providing personalized dose recommendations when intravenous insulin is needed to manage hyperglycemia.
Hospitals using EndoTool IV have demonstrated better patient outcomes, including:
An Advanced Algorithm Designed to Treat Each Patient Uniquely
Using a non-linear dosing model and machine-learning approach, EndoTool IV translates past data points into an individual physiological model for each patient.

Patient-Specific Dosing
Rather than using a fixed multiplier or linear protocol, EndoTool IV uses proprietary technology to model, predict and adapt each patient’s insulin therapy regimen. The initial dose recommendation is based on 11 patient-specific factors, including the presence of steroids, kidney function, diagnosis of diabetes and HbA1C.

Estimated Residual Extracellular Insulin
Estimated residual extracellular insulin (EREI) refers to residual insulin present in a patient’s body from previous doses. To help prevent hypoglycemia, EndoTool IV contains an algorithm that automatically down-regulates an insulin dose, when applicable, to account for residual insulin circulating in the blood stream.

Designed to Treat All Ages and Diagnoses
EndoTool IV is FDA-cleared to treat adult and pediatric patients alike (age two and older, weighing at least 12 kg). The system provides personalized dosing recommendations based on each patient's specific diabetes diagnosis: type 1, type 2 diabetes, gestational, or non-diabetes with stress-induced hyperglycemia. EndoTool IV also provides optional EndoX modes of therapy to support patients with diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic nonketotic syndrome (HHS).

Meal-Time Dosing
EndoTool IV does not require tedious and time-consuming carbohydrate counting, and more importantly, it does not assume that carbohydrates have been consumed by a patient. Instead, EndoTool IV uses a patient’s actual response to carbohydrate or dextrose intake and the current blood glucose level to recommend next steps in treatment. A meal timer feature simplifies meal-time dosing by reminding the clinician to take a blood glucose reading after the specified meal time, so the software may continue to accurately model the patient’s treatment.

Transition to Subcutaneous Insulin
Transitioning from intravenous to subcutaneous insulin therapy is seamless with the EndoTool Glucose Management System. With EndoTool IV, each hospital unit has full discretion over the criteria used to ensure a patient is stable and ready for transition. It also allows patient-specific transition orders from intravenous insulin to any defined protocols within the organization.
Aligned With Your Hospital’s Standards and Practices
- EndoTool IV is flexible and customizable, with parameters that can be modified at the unit level to support preferred workflows, policies and protocols.
- The system is capable of integration with your electronic medical record (EMR) system.
- Your team is supported 24/7/365 by EndoTool IT and clinical experts.
- Designated users can track performance and dive deeper with advanced analytics.
