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

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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.


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.
We found this trial at
1
site
1969 Ogden Avenue
Chicago, Illinois 60612
?
mi
from
Chicago, IL
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