Working to Improve Care of Hospital Hyperglycemia Through Statewide Collaboration: The Georgia Hospital Association Diabetes Special Interest Group

Cook, Curtiss B.; Stockton, Lawrence; Baird, Marianne; Osburne, Robert C.; Davidson, Paul C.; Steed, R. Dennis; Bode, Bruce W.; Reid, Joyce; McGowan, Kathryn A.

doi:10.4158/ep.13.1.45

Cited by 12 publications

(6 citation statements)

References 14 publications

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“…It is now recognized that inpatient hyperglycemia is associated with a number of adverse outcomes in several different clinical scenarios, including higher rates of surgical wound infections (10,13,21). Several national and regional quality improvement initiatives are under way to increase awareness and to develop strategies to improve care of hospitalized patients with diabetes or hyperglycemia (10,13,19,(21)(22)(23)(24)(25)(26). The transplant population represents a subset of patients who should be included in these efforts.…”

Section: Discussionmentioning

confidence: 99%

Hyperglycemia during the Immediate Period after Kidney Transplantation

Chakkera¹,

Weil²,

Castro³

et al. 2009

Clinical Journal of the American Society of Nephrology

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105

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Investigators have historically attempted to identify hyperglycemia after hospital discharge. Our data indicate that a substantial number of patients without pretransplantation diabetes develop hyperglycemia and require insulin during the hospital phase of their care immediately after kidney transplantation. Prospective studies are needed to delineate factors that contribute to development of new-onset diabetes after transplantation among patients with transient hyperglycemia.

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Section: Discussionmentioning

confidence: 99%

Hyperglycemia during the Immediate Period after Kidney Transplantation

Chakkera¹,

Weil²,

Castro³

et al. 2009

Clinical Journal of the American Society of Nephrology

Self Cite

105

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“…6,7 Quality improvement organizations are currently working towards developing and disseminating performance measures for inpatient hyperglycemia. [8][9][10] It is often perceived that management of hospital hyperglycemia is suboptimal 11 ; however, actual data are limited and are based on review of small numbers of charts from single institutions. [12][13][14][15] Further insight into current inpatient hyperglycemia care is needed as a baseline against which to measure the impact of glycemic control programs.…”

Section: Introductionmentioning

confidence: 99%

Inpatient Point-of-Care Bedside Glucose Testing: Preliminary Data on Use of Connectivity Informatics to Measure Hospital Glycemic Control

Cook

Moghissi

Joshi

et al. 2007

Diabetes Technology & Therapeutics

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POC-BG data can be captured through automated data management software and can support hospital efforts to evaluate and monitor the status of inpatient glycemic control. These preliminary data suggest that there is a need to conduct broad-based efforts to improve inpatient glucose management. Increasing hospital participation in data collection has the potential to create a national benchmarking process for the development of best practices and improved inpatient hyperglycemia management.

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“…For example, programs developed and implemented by a number of institutions might serve as models for other institutions 43,[48][49][50][51][52][53] . Innovations in health coaching 54 and diabetes nurse case management 55 also show promise.…”

Section: Transition To and Implementation Of Sc Insulin Regimensmentioning

confidence: 99%

Addressing hyperglycemia from hospital admission to discharge

Moghissi

2010

Current Medical Research and Opinion

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Optimal glycemic management in the hospital setting requires judicious treatment of hyperglycemia while avoiding hypoglycemia. Insulin is the most appropriate agent for management of hyperglycemia for the majority of hospitalized patients. Intravenous insulin infusion is still preferred during and immediately after surgery, but s.c. basal insulin analogs with prandial or correction doses should be used after the immediate post-operative period, and also should be used in non-critically ill patients. Frequent and effective glucose monitoring is critical for avoiding wide deviations from acceptable glucose levels, which under a recently promulgated consensus guideline currently range between 140 mg/dL and 180 mg/dL. Glucose targets near 140 mg/dL are recommended as being the most appropriate for all hospitalized patients.

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Working to Improve Care of Hospital Hyperglycemia Through Statewide Collaboration: The Georgia Hospital Association Diabetes Special Interest Group

Cited by 12 publications

References 14 publications

Hyperglycemia during the Immediate Period after Kidney Transplantation

Hyperglycemia during the Immediate Period after Kidney Transplantation

Inpatient Point-of-Care Bedside Glucose Testing: Preliminary Data on Use of Connectivity Informatics to Measure Hospital Glycemic Control

Addressing hyperglycemia from hospital admission to discharge

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