Insulin Therapy in the Hospital Comparing Two Protocols
Status: | Completed |
---|---|
Conditions: | Diabetes, Diabetes |
Therapuetic Areas: | Endocrinology |
Healthy: | No |
Age Range: | 18 - 80 |
Updated: | 10/14/2017 |
Start Date: | December 2006 |
End Date: | June 2009 |
Basal/Bolus Insulin Therapy in the Hospital Ward Comparison of Two Protocols: Feasibility Study
The purpose of this study is to determine if by using insulin analog (Glargine and lispro
insulin) with an insulin pen the investigators are able to obtain a higher rate of correct
timing of insulin and food administration as when compared to the usual therapy (insulin NPH
and regular) with syringes.
insulin) with an insulin pen the investigators are able to obtain a higher rate of correct
timing of insulin and food administration as when compared to the usual therapy (insulin NPH
and regular) with syringes.
Inclusion Criteria:
- Uncontrolled blood sugar:
- Random blood sugar ≥ 200mg/dl
- Pre-prandial blood sugar greater than 180 mg/dl on two occasions within 24 hours.
- Patient may be off insulin or on subcutaneous inpatient insulin regimen less than 36
hours.
- Transition from an Insulin Drip in the intensive care units to subcutaneous insulin
upon transfer to general ward.
- Patient is able to eat and oral feeding is expected.
Exclusion Criteria:
- Patients receiving inpatient oral hypoglycemic agents
- Patients with chronic kidney disease stages 4 & 5 (estimated GFR of <30ml/min) and on
dialysis
- Patient with chronic liver disease
- Patient with hypoglycemia unawareness
- Pregnancy
- Patients who are on "NPO" for medical reasons.
- Patient is expected to stay in the hospital for less than 3 days.
- Patient on a new inpatient insulin regimen for > 36 hours.
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