scholarly journals Inpatient blood glucose management of diabetic patients in a large secondary hospital

2009 ◽  
Vol 51 (2) ◽  
pp. 162-165 ◽  
Author(s):  
DG Van Zyl ◽  
P Rheeder
Keyword(s):  
Blood Glucose ◽  
Diabetic Patients ◽  
Secondary Hospital ◽  
Glucose Management

Parenteral Nutrition in Diabetes Mellitus

1987 ◽  
Vol 13 (1) ◽  
pp. 41-46 ◽  
Author(s):  
Janet M. Smithgall
Keyword(s):  
Diabetes Mellitus ◽  
Blood Glucose ◽  
Parenteral Nutrition ◽  
Diabetic Patient ◽  
Total Parenteral Nutrition ◽  
Glucose Homeostasis ◽  
Surgical Patient ◽  
Diabetic Patients ◽  
Glucose Management

Total parenteral nutrition (TPN) may be the essential and only viable route by which to nourish enterally compromised diabetic patients. This paper discusses in dications for its use, venous ac cess sites, and parenteral solu tions, including insulin admix ture ; reviews protocols devel oped for TPN initiation and blood glucose management in three specifically defined diabetic patient categories; and considers methods of achieving glucose homeostasis in the diabetic surgical patient.

Society for Ambulatory Anesthesia Consensus Statement on Perioperative Blood Glucose Management in Diabetic Patients Undergoing Ambulatory Surgery

2010 ◽  
Vol 111 (6) ◽  
pp. 1378-1387 ◽  
Author(s):  
Girish P. Joshi ◽  
Frances Chung ◽  
Mary Ann Vann ◽  
Shireen Ahmad ◽  
Tong J. Gan ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Consensus Statement ◽  
Ambulatory Surgery ◽  
Diabetic Patients ◽  
Ambulatory Anesthesia ◽  
Glucose Management

scholarly journals P088: Dextrose 50% versus dextrose 10% or dextrose titration for the treatment of out-of-hospital hypoglycemia; a systematic review and meta-analysis

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S96-S96
Author(s):  
M. Hurtubise ◽  
J. Greene ◽  
A. Stirling ◽  
A. Carter ◽  
J. Swain ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Adverse Events ◽  
Meta Analysis ◽  
Post Treatment ◽  
Diabetic Patients ◽  
Significant Finding ◽  
Glucose Levels ◽  
Glycemic Profile ◽  
Glucose Management ◽  
Intravenous Dextrose

Introduction: Paramedics commonly administer intravenous dextrose to severely hypoglycemic patients. Typically, the treatment provided is a 25g ampule of 50% dextrose (D50). This dose of D50 is meant to ensure a return to consciousness. However, this dose may be unnecessary and lead to harm or difficulties regulating blood glucose post treatment. We hypothesize that a lower dose such as dextrose 10% (D10) or titrating the D50 to desired level of consciousness may be optimal and avoid adverse events. Methods: We systematically searched Medline, Embase, CINAHL and Cochrane Central on June 5th 2019. PRISMA guidelines were followed. The GRADE methods and risk of bias assessments were applied to determine the certainty of the evidence. We included primary literature investigating the use of intravenous dextrose in hypoglycemic diabetic patients presenting to paramedics or the emergency department. Outcomes of interest were related to the safe and effective reversal of symptoms and blood glucose levels (BGL). Results: 660 abstracts were screened, 40 full text articles, with eight studies included. Data from three randomized controlled trials and five observational studies were analyzed. A single RCT comparing D10 to D50 was identified. The primary significant finding of the study was an increased post-treatment glycemic profile by 3.2 mmol/L in the D50 group; no other outcomes had significant differences between groups. When comparing pooled data from all the included studies we find higher symptom resolution in the D10 group compared to the D50 group; at 99.8% and 94.9% respectively. However, the mean time to resolution was approximately 4 minutes longer in the D10 group (4.1 minutes (D50) and 8 minutes (D10)). There was more need for subsequent doses in the D10 group at 23.0% versus 16.5% in the D50 group. The post treatment glycemic profile was lower in the D10 group at 5.9 mmol/L versus 8.5 mmol/L in the D50 group. Both treatments had nearly complete resolution of hypoglycemia; 98.7% (D50) and 99.2% (D10). No adverse events were observed in the D10 group (0/871) compared to 12/133 adverse events in the D50 group. Conclusion: D10 may be as effective as D50 at resolving symptoms and correcting hypoglycemia. Although the desired effect can take several minutes longer there appear to be fewer adverse events. The post treatment glycemic profile may facilitate less challenging ongoing glucose management by the patients.

scholarly journals Analysis on the Current Situation of Information Construction of Blood Glucose Management for Diabetic Patients in Primary Hospitals

2020 ◽  
Vol 9 (7) ◽  
pp. 178
Author(s):  
Dan Xu ◽  
Yang Zhang
Keyword(s):  
Blood Glucose ◽  
Compliance Rate ◽  
Glucose Monitoring ◽  
Blood Glucose Monitoring ◽  
Control Group ◽  
Diabetic Patients ◽  
Feedback Information ◽  
Monitoring Instrument ◽  
Glucose Management ◽  
Experimental Group

To explore the effect of informatization construction of diabetes mellitus inpatients’ blood glucose management in basic hospital. Methods: 300 cases of diabetic patients in a primary hospital were randomly divided into experimental group and control group with 150 cases in each group. The control group used traditional blood glucose monitoring system and monitoring instrument; the experimental group used blood glucose management information system and intelligent blood glucose monitoring instrument. The blood glucose value, time, target rate and other monitoring indicators were recorded. Results: the accuracy rate of patients’ information recognition and feedback information was higher than that of the control group, the differences were statistically significant (P < 0.05); the blood glucose monitoring value of the experimental group was more accurate than that of the control group, the difference was statistically significant (P < 0.01); the detection time and standard time of blood glucose in the experimental group were significantly lower than those in the control group, and the differences were statistically significant (P < 0.05). Conclusion: the informatization construction has a very important significance for the blood glucose management of diabetic patients, which can reduce the blood glucose value of patients, improve the blood glucose compliance rate of patients before discharge, self blood glucose monitoring ability, work efficiency and level of medical workers.

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