Objective

This retrospective case study compares glycemic outcomes for labor and delivery patients before and after implementation of EndoTool (i.e., versus a paper protocol).

Setting

1,018-bed not-for-profit academic medical center and Level 1 trauma center.

Results

• Incidence of hypoglycemia <70 mg/dL decreased 39.1% with EndoTool, from 4.6% to 2.8% of blood glucose readings.
• Incidence of hypoglycemia <60 mg/dL decreased 42.9% with EndoTool, from 1.4% to 0.8% of blood glucose readings.
• Average time to goal range of 70-100 mg/dL decreased 68.8% with EndoTool, from 12.5 to 3.9 hours.
• Percentage of blood glucose measurements in the goal range increased 115.8% with EndoTool, from 19% to 41%.

Conclusions

Use of EndoTool for labor and delivery patients, including those with diabetes and DKA, provides markedly better glycemic outcomes than a paper protocol, as evidenced by lower incidence of hypoglycemia, significantly faster time to goal and a much higher percentage of blood glucose measurements in the goal range.