Managing diabetes-related costs and quality of life issues: Value of insulin analogs and pens for inpatient use

Cornell, Susan

doi:10.1016/j.healthpol.2010.02.006

Cited by 6 publications

(6 citation statements)

References 73 publications

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“…A growing body of evidence shows several benefits of insulin pens for inpatient care, both from the hospital’s and the patient’s perspectives. Insulin pens have being suggested to be cost-effective and to improve patients’ quality of life during the hospital stay as well [4, 5, 15]. However, information on nurses’ satisfaction using insulin pens in hospitalized patients is sparse, with the only data coming from the US [8].…”

Section: Discussionmentioning

confidence: 99%

“…Conversely, whether insulin pen devices should replace traditional vial and syringe in hospitalized patients is still a controversial subject [3]. Together with patients’ satisfaction [4, 5], economic evaluation [4–6] and safety issues related to the potential risk of biological contaminations for both nurses and patients [5–7], nurses’ satisfaction constitutes a key perspective for the management of hospitalized patients with diabetes requiring insulin injections. However, information on this topic is scarce, with the only data coming from the US, where 70 % of nurses considered insulin pens an “improvement” over conventional vial and syringe method 11 months after their introduction in two floors of one hospital [8].…”

Section: Introductionmentioning

confidence: 99%

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Determinants of nurse satisfaction using insulin pen devices with safety needles: an exploratory factor analysis

Veronesi

Poerio

Braus

et al. 2015

Clin Diabetes Endocrinol

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BackgroundA paucity of data exists to examine nurses’ satisfaction with the use of insulin pens with safety needles in hospitalized patients with diabetes. We investigated major determinants of nurses’ preference of the method of insulin administration in the context of a General Hospital in Northern Italy.MethodsConsecutive patients admitted to three hospital units of different care intensity requiring insulin received insulin therapy through either the vial/syringe method (October to December 2012) or pen/safety needles with dual-ended protection method (January to March 2013). Before the implementation of insulin pens, floor nurses received a specific training program for proper insulin pen injection technique including individual testing of the devices (pen/safety needles). At the end of the study, nurses completed the Nursing Satisfaction Survey Questionnaire. Cronbach’s alpha was used to determine the internal consistency and reliability of the questionnaire. Major determinants of satisfaction were investigated through an exploratory factor analysis. The association between each retained factor and time spent to teach patients how to self-inject insulin with pen devices was also investigated.ResultsFifty-three out of 60 nurses (mean age ± SD 36.2 ± 8.5 years, 85 % women, 57 % with 10+ years of working experience) returned the questionnaire. Internal consistency of the questionnaire was satisfactory (Cronbach’s alpha > 0.9). Three months after their introduction, about 92 % of nurses considered pen devices an “improvement” over the vial/syringe method. Two factors explained 85 % of nurses’ satisfaction, one related to convenience and ease of use, and the other to satisfaction/time spent for dose preparation and administration. The latter factor was inversely correlated with time spent on patients’ training tasks.ConclusionsNurses’ satisfaction with pen devices was higher than previously reported, possibly reinforced by safety needles with dual-ended protection. Perceived workload was a major determinant of nurse satisfaction using pen devices with safety needles. To facilitate the introduction of insulin pens in the hospital setting, it should be specifically addressed during training programs in the switch-over period.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Determinants of nurse satisfaction using insulin pen devices with safety needles: an exploratory factor analysis

Veronesi

Poerio

Braus

et al. 2015

Clin Diabetes Endocrinol

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“…Insulin pens have shown a positive impact on the healthrelated quality of life with less frequent and less severe episodes of hypoglycemia. 41,42 Outcomes such as treatment satisfaction, ease-of-use, discreetness, convenience and flexibility, injection pain, and patient preference all favor the use of insulin pens. 43 Half-unit insulin pens are also evolving with several technological advances that have a high impact on quality of life, such as Bluetooth-enabled pens linked to custom smart phone applications that track dosage over time and may incorporate dose calculators, and memory functionality.…”

Section: Quality Of Lifementioning

confidence: 99%

Precision Dosing of Rapid-Acting Insulin Matters

Aanstoot¹,

Rodriguez

Weinzimer

et al. 2020

Diabetes Technology & Therapeutics

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Despite several molecular and technological advances in insulin therapy and insulin delivery, global evidence highlights inadequate glycemic control in populations with type 1 diabetes (T1D) and type 2 diabetes (T2D). In this review, we discuss the importance of more precise dosing of insulin as one of the approaches to improve glycemic control while reducing hypoglycemic events. This report is based on the expert opinion of authors and literature search of articles relevant to the past and present insulin delivery devices in diabetes management, especially half-unit insulin pens. We describe the various factors that facilitate better glycemic control, focusing on the impact of appropriate insulin delivery device selection on diabetes management. Precision dosing of insulin is a lesser-studied factor that contributes toward better glycemic control. Insulin pens have consistently outperformed syringes as delivery devices due to their greater accuracy and precision of dosing, ease-of-use, and patient preference. These advantages make them better suited to administer insulin in hypoglycemia-prone insulin-sensitive people with T1D, particularly younger children and geriatric patients. Half-unit insulin pens further extend this benefit by delivering half-unit doses of insulin accurately. They may contribute to better management of diabetes by allowing flexible dosing for mealtimes and physical activities even in erratic diet situations or illnesses by offering corrective doses in small increments. They are ideal delivery devices for insulin-sensitive people with T1D who require greater accuracy and precision in insulin delivery to achieve more stringent glycemic control.

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“…The goals of inpatient diabetes management have been indicated as follows: achieve individual glycemic control, treat any diabetes-related complications, prevent any drug-related adverse events and new complications and, finally, implement education regarding diabetes self-management (8). In addition to the aforementioned goals, reducing the cost of treating diabetes is essential in the current economic climate.…”

Section: Introductionmentioning

confidence: 99%

Examining Factors That Impact Inpatient Management of Diabetes and the Role of Insulin Pen Devices

Smallwood

Lamarche

Chevrier

2017

Canadian Journal of Diabetes

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Insulin administration in the acute care setting is an integral component of inpatient diabetes management. Although some institutions have moved to insulin pen devices, many acute care settings continue to employ the vial and syringe method of insulin administration. The aim of this study was to evaluate the impact of insulin pen implementation in the acute care setting on patients, healthcare workers and health resource utilization. A review of published literature, including guidelines, was conducted to identify how insulin pen devices in the acute care setting may impact inpatient diabetes management. Previously published studies have revealed that insulin pen devices have the potential to improve inpatient management through better glycemic control, increased adherence and improved self-management education. Furthermore, insulin pen devices may result in cost savings and improved safety for healthcare workers. There are benefits to the use of insulin pen devices in acute care and, as such, their implementation should be considered.

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Managing diabetes-related costs and quality of life issues: Value of insulin analogs and pens for inpatient use

Cited by 6 publications

References 73 publications

Determinants of nurse satisfaction using insulin pen devices with safety needles: an exploratory factor analysis

Determinants of nurse satisfaction using insulin pen devices with safety needles: an exploratory factor analysis

Precision Dosing of Rapid-Acting Insulin Matters

Examining Factors That Impact Inpatient Management of Diabetes and the Role of Insulin Pen Devices

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