| Effect of a Targeted Glycemic Management Program on Provider Response to Inpatient Hyperglycemia. | |
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MedLine Citation:
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PMID: 21454237 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Objective: Hyperglycemia is often inadequately treated during hospitalization. To address this, we piloted a Targeted Glycemic Management (TGM) service with the goals of improving clinician awareness of available inpatient glycemic management protocols and improving responsiveness to and frequency of severe hyperglycemia.Methods: Patients with a blood glucose (BG) ≥300 mg/dL who were hospitalized on the general medicine service during three 12-week periods prior to, during, and following the TGM pilot were compared for responsiveness by the primary team, percentage of subsequent BGs between 80 and 180 mg/dL, and frequency of subsequent severe hyperglycemia (BG ≥300 mg/dL) and hypoglycemia (BG< 70 mg/dL).Results: More patients had a modification of their glycemic regimen in response to severe hyperglycemia (49% vs. 73% vs. 50%, p=0.044) and the percentage of patients with ≥50% of subsequent BGs in the desired range (27% vs. 53% vs. 32%, p=0.035) was greater during the TGM period. The incidence of subsequent severe hyperglycemia (20% vs. 9% vs. 16%, p=0.0004) was lower during the TGM period, however, the incidence of hypoglycemia was similar in all three periods (3.9% vs. 3.7% vs. 3.7%).Conclusion: These results indicate that a TGM service can favorably influence glycemic management practices and improve glycemic control, but ongoing intervention is required. |
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Authors:
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Amy C Donihi; Jolynn M Gibson; Michelle Noschese; Monica Dinardo; Glory Koerbel; Michelle Curll; Mary T Korytkowski |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-2-25 |
Journal Detail:
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Title: Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists Volume: - ISSN: 1934-2403 ISO Abbreviation: - Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-4-1 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9607439 Medline TA: Endocr Pract Country: - |
Other Details:
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Languages: ENG Pagination: 1-15 Citation Subset: - |
Affiliation:
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University of Pittsburgh Medical Center, Pittsburgh, PA, United States. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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