An article in the April ACP Hospitalist reviews mixed results of research on electronic systems for glucose management and the potential challenges to implementing them.
As insulin pumps become more common, hospitalists need plans to manage them. Learn about the issues that can arise, including potentially difficult negotiations with patients, in the April ACP Hospitalist.
ACP Diabetes Monthly delivers a monthly summary of news about diabetes, including the latest research, clinical guidelines, and FDA drug actions.
Closed-loop systems may improve inpatient glycemic control over subcutaneous insulin delivery | ACP Diabetes Monthly
Inpatients with type 2 diabetes who received automated closed-loop delivery of insulin spent more time in the target blood glucose range than those who received insulin subcutaneously, with no difference in rates of hypoglycemia.
Random or fasting glucose measurements can be used to screen for diabetes in patients admitted for acute myocardial infarction, a study found.
Glycemic control gradually tightened in U.S. ICUs after the publication of a trial supporting tight control, but practice changed little when a subsequent trial found harm from tight control, a new study notes.
Improved mortality rates in diabetic ICU patients appear to be independent of glucose control, study finds | ACP Diabetes Monthly
Improved mortality rates in diabetic ICU patients over the past decade appear to be independent of glucose control, according to a new study.
Liberal glucose control worked well for ICU patients with diabetes, study finds | ACP Diabetes Monthly
ICU patients who were given insulin only when glucose exceeded 14 mmol/L (>252 mg/dL) had slightly less hypoglycemia and similar creatinine levels, white cell counts, and mortality rates versus those treated with insulin when glucose exceeded 10
Prognostic value of acute-to-chronic glycemic ratio better than glycemia at admission for AMI patients | ACP Diabetes Monthly
Patients' A/C glycemic ratio predicted a composite of in-hospital mortality, acute pulmonary edema, and cardiogenic shock as well as troponin I peak value, a prospective study in Italy found.
The service used the electronic health record to send daily reports on inpatients with abnormal glucose values or insulin pump use to experienced diabetes clinicians who could remotely enter a glucose management note with insulin recommendations.