Overview

Hyperglycemia in the hospitalized patient is a significant risk factor for morbidity and mortality. This is true not only for the patient with diabetes, but especially for the patient with newly diagnosed hyperglycemia. In part this is due to the pathophysiological effects of acute hyperglycemia. Glycemic control using intravenous insulin has been shown to improve outcomes in critically ill as well as non-critically ill patients. However, the occurrence of hypoglycemia poses a significant barrier to attaining glucose goals.

This educational program will address the questions, “What is good glycemic control?” and “What is the effectiveness of current glucose monitoring technology?” It will also include the latest on computer-guided glucose management systems, presented by Hays Medical Center.

Learning Objectives:

  • Discuss the problem of obtaining good glycemic control in post surgical/post trauma patients
  • Compare the use of paper-based protocols with computer-guided glucose management systems to monitor glycemic levels and determine appropriate dosage levels of GIK for critically ill patients
  • Discuss the benefits of a team approach to good glycemic control for the post-surgical/post-trauma patient
  • From Sliding Scale to Computer-guided Glucose ManagementDecrease in HypoglycemiaHypoglycemia levels with the computer-guided system were much improved: Paper protocols showed a rate of .44%, compared with a rate of 0.00% with the use of the computer-guided system.Improved Mean Blood GlucosesIn the ICU, mean blood glucose level was 134.5 mg/dL vs. 151.6 mg/dLfor the other hospitals.Safe & Effective

    A computer-guided glucose management system is an effective way to maintain glycemic control.

    Panelists

    Samuel E. Crockett, MD, CDE, Associate Professor of Medicine
    Department of Medical Education, College of Medicine, University of Central Florida in Orlando, FL

    Bevra Brinkman, MS, RN, CNS-BC, CNOR, Medical/Surgical Clinical Nurse Specialist 
    Hays Medical Center in Hays, KS

    July 30, 2009 – July 30, 2011

    View the Slides