Local complications of insulin administration sites and effect on diabetes management

2021 ◽  
Author(s):  
Günay Demir ◽  
Eren Er ◽  
Yasemin Atik Aktınok ◽  
Samim Özen ◽  
Şükran Darcan ◽  
...  
Keyword(s):  
Diabetes Management ◽  
Insulin Administration ◽  
Local Complications

scholarly journals A Pragmatic Approach to Inpatient Diabetes Management during the COVID-19 Pandemic

2020 ◽  
Vol 105 (9) ◽  
pp. 3076-3087 ◽  
Author(s):  
Mary Korytkowski ◽  
Kellie Antinori-Lent ◽  
Andjela Drincic ◽  
Irl B Hirsch ◽  
Marie E McDonnell ◽  
...  
Keyword(s):  
Health Care ◽  
Diabetes Management ◽  
Prolonged Exposure ◽  
Glucose Monitoring ◽  
Hospitalized Patients ◽  
Standards Of Care ◽  
Insulin Administration ◽  
Patient Interactions ◽  
Patients With Diabetes ◽  
Glycemic Management

Abstract The pandemic of COVID-19 has presented new challenges to hospital personnel providing care for infected patients with diabetes who represent more than 20% of critically ill patients in intensive care units. Appropriate glycemic management contributes to a reduction in adverse clinical outcomes in acute illness but also requires intensive patient interactions for bedside glucose monitoring, intravenous and subcutaneous insulin administration, as well as rapid intervention for hypoglycemia events. These tasks are required at a time when minimizing patient interactions is recommended as a way of avoiding prolonged exposure to COVID-19 by health care personnel who often practice in settings with limited supplies of personal protective equipment. The purpose of this manuscript is to provide guidance for clinicians for reconciling recommended standards of care for infected hospitalized patients with diabetes while also addressing the daily realities of an overwhelmed health care system in many areas of the country. The use of modified protocols for insulin administration, bedside glucose monitoring, and medications such as glucocorticoids and hydroxychloroquine that may affect glycemic control are discussed. Continuous glucose monitoring systems have been proposed as an option for reducing time spent with patients, but there are important issues that need to be addressed if these are used in hospitalized patients. On-site and remote glucose management teams have potential to provide guidance in areas where there are shortages of personnel who have expertise in inpatient glycemic management.

Abstract #277: Outcomes of a Standardized Protocol for Diabetes Management in Surgical Inpatients

2015 ◽  
Vol 21 ◽  
pp. 64
Author(s):  
Jeffery Cobb ◽  
Andrea Eckhart ◽  
Alison Motsinger ◽  
Bernadette Carr ◽  
Ele Ferrannini,
Keyword(s):  
Diabetes Management ◽  
Standardized Protocol

Abstract #1142: Improving Diabetes Management By Residents in an Outpatient Setting

2017 ◽  
Vol 23 ◽  
pp. 312-313
Author(s):  
Jahnavi Sagi ◽  
Lavanya Vuppu ◽  
Medha Joshi
Keyword(s):  
Diabetes Management ◽  
Outpatient Setting

Diabetes Management Gets Its Day

2011 ◽  
Vol 10 (4) ◽  
pp. 42-43
Author(s):  
MIRIAM E. TUCKER
Keyword(s):  
Diabetes Management
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