Update on Inpatient Glycemic Control in Hospitals in the United States

Swanson, Christine M.; Potter, Daniel; Kongable, Gail L.; Cook, Curtiss B.

doi:10.4158/ep11042.or

Cited by 121 publications

(121 citation statements)

References 11 publications

Supporting

Mentioning

114

Contrasting

Unclassified

Order By: Relevance

“…[1][2][3][4] In the UK National Diabetes Inpatient Audit, hypoglycaemia occurred in 23.4% of inpatients with diabetes and 2.2% of these patients required parenteral glucose or glucagon. 5 The frequency and severity of hypoglycaemia has been associated with an increase in pre-and post-discharge mortality and length of admission.…”

Section: Introductionmentioning

confidence: 99%

Capillary blood glucose monitoring, inpatient hypoglycaemia and quality of care

et al. 2015

View full text Add to dashboard Cite

Aims: Hypoglycaemia confers excess morbidity and mortality. UK guidelines recommend capillary blood glucose (CBG) measurement is repeated 15 minutes following identification and treatment of CBG <4 mmol/L. We assessed adherence to this guidance, influence of initial CBG on time to repeat (TTR), and the impact of a quality improvement intervention on TTR. Conclusions: TTR is a marker of treatment quality in hypoglycaemia and is suboptimal. TTR reduces with worsening initial degree of hypoglycaemia. We have shown that a quality improvement package can produce sustained reduction of TTR. Br J Diabetes Vasc Dis 2015;15:24-26

show abstract

Section: Introductionmentioning

confidence: 99%

Capillary blood glucose monitoring, inpatient hypoglycaemia and quality of care

et al. 2015

View full text Add to dashboard Cite

show abstract

“…5,6 The prevalence of hypoglycemia (<70 mg/dl) was reported to be 5.7% of all point-of-care blood glucose (BG) tests in a 2009 survey of 575 hospitals. 7 The commonly used definition for severe hypoglycemia (SH) (a low BG level that requires the assistance of another person for recovery) does not apply in the hospital setting, so a defined BG level, <40 mg/dl, has been adopted as the level likely to cause harm in the hospital setting. 6 It has been recognized that early therapeutic changes after treatment for mild hypoglycemia can prevent more SH episodes 8 and that clinicians do not consistently adjust their patients' antidiabetic regimens appropriately following treatment of hypoglycemia, placing the patient at additional risk.…”

Section: Introductionmentioning

confidence: 99%

Prediction and Prevention of Treatment-Related Inpatient Hypoglycemia

Elliott

Schafers

McGill

et al. 2012

J Diabetes Sci Technol

View full text Add to dashboard Cite

show abstract

“…8,9 Reports on the status of inpatient glucose control in large samples of hospitals are now available. 10,11 Glucose control is by no means the only component of inpatient hyperglycemia care in need of attention.…”

Section: Introductionmentioning

confidence: 99%

Assessing Inpatient Glycemic Control: What are the Next Steps?

Cook¹,

Wellik

Kongable

et al. 2012

J Diabetes Sci Technol

Self Cite

View full text Add to dashboard Cite

Abbreviations: (POC-BG) AbstractDespite the emergence of glucometrics (i.e., systematic analysis of data on blood glucose levels of inpatients) as a subject of high interest, there remains a lack of standardization on how glucose parameters are measured and reported. This dilemma must be resolved before a national benchmarking process can be developed that will allow institutions to track and compare inpatient glucose control performance against established guidelines and that can also be supported by quality care organizations. In this article, we review some of the questions that need to be resolved through consensus and review of the evidence, and discuss some of the limitations in analyzing and reporting inpatient glucose data that must be addressed (or at least accepted as limitations) before hospitals can commit resources to gathering, compiling, and presenting inpatient glucose statistics as a health care quality measure. Standards must include consensus on which measures to report, the unit of analysis, definitions of targets for hyperglycemia treatment, a definition of hypoglycemia, determination of how data should be gathered (from chart review or from laboratory information systems), and which type of sample (blood or point of care) should be used for analysis of glycemic control. Hospitals and/or their representatives should be included in the discussion. For inpatient glucose control to remain a focus of interest, further dialogue and consensus on the topic are needed.

show abstract

Update on Inpatient Glycemic Control in Hospitals in the United States

Cited by 121 publications

References 11 publications

Capillary blood glucose monitoring, inpatient hypoglycaemia and quality of care

Capillary blood glucose monitoring, inpatient hypoglycaemia and quality of care

Prediction and Prevention of Treatment-Related Inpatient Hypoglycemia

Assessing Inpatient Glycemic Control: What are the Next Steps?

Contact Info

Product

Resources

About