Glycemic Control and Outcomes of Hospitalization in Noncritically Ill Patients With Type 2 Diabetes Admitted With Cardiac Problems or Infections

Draznin, Boris; Wang, Yunjiao; Seggelke, Stacey A.; Hawkins, R. Matthew; Gibbs, Joanna; Bridenstine, Mark; Rasouli, Neda; Wang, Cecilia Low

doi:10.4158/ep14174.or

Cited by 7 publications

(5 citation statements)

References 22 publications

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“…A secondary aspect of GC is glycemic variability. Glycemic variability is associated with increased LOS, inpatient complications, and mortality (Draznin et al, 2014; Mendez et al, 2013). Glycemic variability in this study was measured as the standard deviation of the mean blood glucose level for each patient, it is defined as the magnitude of the variation in blood glucose levels within individual patients throughout their hospital stay.…”

Section: Methodsmentioning

confidence: 99%

“…In hospitals, poor GC is an important public health problem that has strong economic and patient safety implications, due to its association with poor patient outcomes. Poor GC during hospitalization is associated with increased hospital length of stay, transfers to higher levels of care, increased incidence of nosocomial infections, poor functional outcomes, and increased mortality rates among patients with diabetes (Brock, Shirley, Bardgett, Walker, & Deehan, 2017; Draznin et al, 2014; Falciglia, Freyberg, Almenoff, Alessio, & Render, 2009; Frisch et al, 2010; Olveira et al, 2013; Subramaniam et al, 2014; Williams et al, 2017). While there is convincing evidence that improving GC during hospitalization for acute illness can effectively reduce morbidity and mortality and improve outcomes, poor GC continues to be a pervasive problem among non-critically ill hospitalized patients who have diabetes (Arnold, Mahesri, McDonnell, & Alexanian, 2017; Cook et al, 2007; Cook et al, 2009; Mendez et al, 2013; Murad et al, 2012; Swanson, Potter, Kongable, & Cook, 2011; Vogel, Smith, & Kruse, 2017).…”

Section: Introductionmentioning

confidence: 99%

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The Effects of Nurse Specialty Certification and Medical Treatments on Glycemic Control Outcomes: A Retrospective Study

Ojeda

2020

Preprint

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AIMS: To describe and explore the impact of the presence of specialty certified nurses on the unit on glycemic control among non-critically ill hospitalized patients with Diabetes mellitus. BACKGROUND: Poor glycemic control during hospitalization has been associated adverse patient outcomes. Staff nurses administer much of the diabetes-specific care delivered to patients during hospitalization. Nurse specialty certification is a recognized indicator of nursing care quality. METHODS: A retrospective sample of medical records data was analyzed to describe and explore the impact of specialty certified nurses on glycemic control among a group of 293 non-critically ill hospitalized patients with Diabetes mellitus. Regression analysis was performed to assess the impact of the percentage of certified nurses on the unit as a mediator or moderator of the relationship between medical treatments and glycemic control outcomes. RESULTS: Increases in the percentage of specialty certified nurses on the unit were associated with significant decreases in mean blood glucose levels among patients who received a basal-bolus insulin regimen or enteral nutritional feedings. CONCLUSIONS: Patients who received specific medical treatments during hospitalization had superior outcomes when nursing care was delivered during times in which the relative proportion of certified nurses on the unit were higher.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Effects of Nurse Specialty Certification and Medical Treatments on Glycemic Control Outcomes: A Retrospective Study

Ojeda

2020

Preprint

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“…Embora a importância do controle glicêmico em pacientes diabéticos, principalmente hospitalizados, esteja bem instituída, frequentemente esses indivíduos apresentam alterações glicêmicas importantes devido a complicações agudas e necessitam de múltiplas ações para manter níveis glicêmicos adequados [3,4]. Dentre as estratégias, o adequado consumo alimentar é um dos principais enfoques do tratamento do DM, o qual modifica positivamente o estado nutricional e contribui para a diminuição do processo inflamatório da doença, permitindo melhor controle glicêmico e melhorando a saúde em geral [5].…”

Section: Introductionunclassified

Determinação do índice glicêmico e da carga glicêmica de dietas hospitalares servidas para diabéticos

Lemos

Patek

Mezzomo

2017

Sci Med

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Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada. ABSTRACTAIMS: To determine the glycemic index and the glycemic load of diets usually offered by hospitals to patients with diabetes mellitus. METHODS: A cross-sectional study evaluated menus served to diabetic inpatients of hospitals in the city of Curitiba, Parana, Brazil. Analyzing the menus, we determined the energy content, macronutrients, glycemic index and glycemic load of the meals offered to the patients. RESULTS: Five general hospitals of the city participated in the study and 10 menus for diabetes were evaluated. The structure of the menus was different mainly in the quantitative supply of fruits and milk. Diets ranged from 1317.6 to 2013.2 kcal, with 18.9 to 27.6% of proteins, 21.9 to 29.4% of lipids, 48.2 to 53.3% of carbohydrates and 24.7 to 33.6 g of fibers. Daily glycemic index ranged from 47 to 57% and daily glycemic load from 81 to 109%. CONCLUSIONS: All offered diets were hyperproteic, normolipid and normoglicidic. However, inadequate levels of glycemic load were observed in all the evaluated menus, although with adequate levels of glycemic index. It is necessary to review the diet plans elaborated for diabetics, aiming at the best dietary treatment for this population.

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“…Observational studies report that hyperglycemia is present in 32%–38% of patients in community hospitals and in 46% of ICU patients 4 , 5 . Hyperglycemia is associated with a greater risk of adverse outcomes during hospital admission, including increased mortality, increased in‐hospital morbidity (eg, infection rate and impaired wound healing), longer length of hospital stay, a higher admission rate to the ICU, and higher health care resource utilization and costs 5 – 10 . As a consequence, blood glucose control is important in the management of patients with hyperglycemia.…”

Section: Introductionmentioning

confidence: 99%

Improved Glucose Profile in Patients With Type 2 Diabetes With a New, High‐Protein, Diabetes‐Specific Tube Feed During 4 Hours of Continuous Feeding

Lansink

Hofman

Genovese

et al. 2016

J Parenter Enteral Nutr

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Glycemic Control and Outcomes of Hospitalization in Noncritically Ill Patients With Type 2 Diabetes Admitted With Cardiac Problems or Infections

Cited by 7 publications

References 22 publications

The Effects of Nurse Specialty Certification and Medical Treatments on Glycemic Control Outcomes: A Retrospective Study

The Effects of Nurse Specialty Certification and Medical Treatments on Glycemic Control Outcomes: A Retrospective Study

Determinação do índice glicêmico e da carga glicêmica de dietas hospitalares servidas para diabéticos

Improved Glucose Profile in Patients With Type 2 Diabetes With a New, High‐Protein, Diabetes‐Specific Tube Feed During 4 Hours of Continuous Feeding

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