Tight glycemic control software

Tight blood glucose control bgc, targeting blood glucose levels below 110 mg dl, improved the outcome of critically ill patients only in. Tight glycemic control in critically ill children nejm. Three years of tight glycemic control with computer software. Based on the 2008 recommendations for glucose control in critically ill patients from the american diabetes association 9 as close to 110 mgdl as possible and the surviving sepsis campaign 4 computerized intensive insulin dosing can mitigate hypoglycemia and achieve tight glycemic control when glucose is performed frequently and on time more errors in insulin dosing are six times. Tight glucose control for critically ill patients using endotool software.

Tight glycemic control and decreased glycemic derangements in critically ill patients author links open overlay panel nicole m. Software driven tight glycemic control with reduced blood. Evaluating the implementation of the endotool glycemic control. Tight control is a method of intensive diabetes selfmanagement that involves keeping blood glucose levels as close as possible to normal without causing severe or frequent episodes of hypoglycemia low blood sugar, in the aim of preventing complications of diabetes.

This is especially true when implementing paperbased tgc protocols. Several reports of softwareguided insulin dosing have shown improved glycemic control while lowering hypoglycemia rates. Use of a computerized algorithm in patients undergoing. Studies show that star glycemic control protocol has provided tight blood glucose control with a. Can aggressive glycemic control in adults with diabetes be. Abstract for journal of diabetes science and technology annual meeting, nov 24, 2006. Three years of tight glycemic control with computer software introduction. A computerdirected intravenous insulin system shown to be safe, simple, and effective in 120,618 h of. Surgical icu patients whose intensive insulin infusions were managed using the softwareguided program achieved tighter glycemic control and fewer glycemic derangements than those managed with the paperbased insulin dosing regimen.

The purpose of this study was to compare achievement of glycemic control on insulin drips before and after the implementation of endotool, a glucose management software system used in a community hospital setting. From the trials cited above, we can see that tight glycemic control in type 2 diabetes, with hba 1c target levels of less than 7%, reduces the microvascular complications of diabetes. Evaluating the implementation of the endotool glycemic control software. There is strong evidence for the benefits of tight glucose control early in the course of diabetes. Backgroundin multicenter studies, tight glycemic control targeting a normal blood glucose level has not been shown to improve outcomes in. The updated guideline from american geriatrics society ags suggests that in order to improve the care of older adults with diabetes, medications other than metformin should be avoided in the older patient with an hba1c of software driven protocols critical care, tight glycemic control can be achieved with reduced blood glucose determinations, thus reducing the work load of glycemic control. Is tight glycemic control in type 2 diabetes really. The option for the software to use every three hour bg testing when the mathematical conditions of stability are met was introduced. Hyperglycemia is a common problem in acutely ill patients and leads to serious complications associated with increased mortality and morbidity. Several reports of software guided insulin dosing have shown improved glycemic control while lowering hypoglycemia rates. It might also reduce macrovascular complications if initiated early, although it might take longer for the benefits to become evident. Tight glycemic control has engendered large numbers of investigations, with conflicting results. The world has largely embraced intensive insulin as a practice, but applies this therapy with great variability in the manner of glucose control and measurement.

Benefits of tight glycemic control are often outweighed by treatment burden from side effects such as weight gain, hypoglycemia, or needing frequent insulin injections, according to. Tight glycemic control more burden than benefit for many. Paper vs computer evidencebased data pronia medical systems. Benefits and harms of intensive glycemic control in. Software driven tight glycemic control with reduced blood glucose determinations introduction. While intensive glycemic control in newly diagnosed patients is beneficial, tight control in the general diabetes population has not demonstrated the same benefits. Kongable msn, fnp d sharon holewinski rn b keri obrien rn, jd b stanley a. Tight glycemic control tgc, however, is a labor intensive challenge for the hospital staff. Tight glycemic control in critically ill pediatric. Older adults are least likely to benefit from tight glycemic control and most likely to be harmed. Benefits and risks of tight glucose control in critically. Softwareguided versus nursedirected blood glucose control in. The goal of glucose management is to reduce longterm complications of diabetes.