Managing Hyperglycemia in Hospitalized Patients

Prevention of Hospital Hypoglycemia by Algorithm Design: A Programming Pathway for Electronic Order Entry

“…Timing of testing, insulin, and meals may be coordinated by justaposition of related orders on a paper order set. A lynchpin of successful order writing is the coordination of the patterns of glucose monitoring and insulin administration with carbohydrate exposure (Bellam and Braithwaite, 2010;Braithwaite et al, 2007;Campbell et al, 2004;Thompson et al, 2005). If an order set is well designed, by checking boxes and entering numbers the prescriber creates orders that are familiar to and readily interpreted by pharmacy and nursing staff.…”

“…One branch of the programming pathway presently under construction will provide for a diabetes hospital patient self-management program. Models for patient self-management in the hospital have been described (Braithwaite et al, 2007;Bailon et al, 2009). The focus of this chapter is on orders for subcutaneous insulin therapy for patients who are not candidates for hospital self-management.…”

“…Patients competent at diabetes selfmanagement, for example patients using multiple daily injections or insulin pump therapy, under defined conditions can be treated in the hospital with continuation of their usual program of self-management (Braithwaite et al, 2007;Bailon et al, 2009). A full description of such a program is beyond the scope of this chapter.…”

Facilitating Process Changes in Meal Delivery and Radiological Testing to Improve Inpatient Insulin Timing Using Six Sigma Method

“…[1][2][3] One of these factors is the timing of meals in patients receiving insulin therapy because it can greatly affect blood glucose levels and insulin requirements. [1][2][3] One of these factors is the timing of meals in patients receiving insulin therapy because it can greatly affect blood glucose levels and insulin requirements.…”