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Safety of EndoTool Versus Fixed-Dose Insulin Infusions for DKA or HHS in the Emergency Department

Objective

This retrospective study compares the safety of EndoTool glucose management software to a standard fixed-dose insulin infusion protocol for patients presenting to an emergency department with DKA or HHS.

Setting

433-bed not-for-profit acute care hospital.

Results
  • Incidence of hypoglycemia <70 mg/dL was 0.00% of patients with EndoTool versus 4.7% with a standard fixed-dose insulin infusion protocol.
Conclusions

Titration of insulin using glucose management software (EndoTool) may be safer than a standard fixed-dose insulin infusion protocol for patients presenting in an emergency department with DKA or HHS, as evidenced by significantly lower incidence of hypoglycemia.

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Authors

Meghin Moynihan, PharmD; Brandon Powell, PharmD, BCCCP; Ginger Barrick, PharmD, MSCR, BCPS; Kalynn Northam, PharmD, BCCCP.

Source

Presented at Society of Critical Care Medicine Critical Care Congress. Published in Critical Care Medicine, Volume 50, Issue 1, p605.

Year

2022

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