| Management of inpatient hyperglycemia: assessing knowledge and barriers to better care among residents. | |
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MedLine Citation:
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PMID: 20224321 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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To identify areas that should be targeted for improvement, we surveyed residents for their knowledge and barriers regarding management of inpatient hyperglycemia. One hundred thirty-five residents from 4 teaching hospitals completed a questionnaire to assess their knowledge about the different types of insulin, the perceived barriers toward managing inpatient hyperglycemia, and the problems they face when dealing with this commonly encountered problem. The majority of participants thought that managing inpatient hyperglycemia was very important in the critically ill and perioperative patients, whereas only 65% thought that it was very important for noncritically ill patients. Most residents reported that they will target blood glucose levels that are inconsistent with the current recommendations. Half of them reported that they were very comfortable with managing inpatient hyperglycemia and hypoglycemia. Of the participants, 46% said they will use a stand-alone insulin sliding scale for patients with difficult to control blood glucose and 43% thought that physicians still use it because of their unfamiliarity with ordering prandial and basal insulin. Unpredictable changes in patient diet and mealtimes, along with the risk of causing patient hypoglycemia, were the most frequently chosen as barriers to better management of inpatient hyperglycemia. Most participants lack important inpatient hyperglycemia knowledge, specifically about insulin types and pharmacokinetics. This study demonstrated the gap in knowledge about management of inpatient hyperglycemia among residents and illustrated the need to develop certain policies and to implement educational programs directed toward residents that reflect the current guidelines. |
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Authors:
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Shadi Latta; Mohamad N Alhosaini; Yaser Al-Solaiman; Mohsen Zena; Fa Khasawneh; Vijay Eranki; Ashok Khilwani; Nkemakolam Iroegbu |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of therapeutics Volume: 18 ISSN: 1536-3686 ISO Abbreviation: Am J Ther Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-09-13 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9441347 Medline TA: Am J Ther Country: United States |
Other Details:
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Languages: eng Pagination: 355-65 Citation Subset: IM |
Affiliation:
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1Department of Internal Medicine, Saint Joseph Hospital/University of Illinois, Chicago, IL; 2Department of Internal Medicine, Rosalind Franklin University of Medicine and Science, North Chicago, IL; 3Department of Internal Medicine, Englewood Hospital, Englewood, NJ; 4Department of Internal Medicine, Westlake Hospital, Melrose Park, IL; and 5Department of Internal Medicine, Advocate Illinois Masonic Medical Center, Chicago, IL. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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