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Slide Presentation - The purpose of this collection of slides is to address pharmacy related barriers to improving glycemic control in the hospital setting, and suggested ways to partner with pharmacy to improve glycemic control
Reference list and Key Readings
Selected published literature

Overview of Pharmacy Specific Barriers:

Medication Safety Issues
- Overview of treatment options for hyperglycemia
- Appropriate treatments in acute care setting
- Focus on safety of insulin therapy
Intravenous Insulin Therapy
- Indications for IV Insulin
- Selection of an IV insulin infusion protocol
- Selection of patient population
Subcutaneous Insulin Therapy
- Insulin requirement in health and illness
- Definition of components of subcutaneous insulin regimens
- Insulin analogs
- Basal insulin
- Nutritional/Prandial Insulin
- Correction Insulin
- Components of ideal subcutaneous insulin order form
- Standardized Order Forms
Selection of Formulary Insulin Options
Cost Benefit of Improving Glycemic Control
Pharmacy Related System Issues
- Pharmacy Computer

Date Author Document
2009 AACE AACE-ADA Consensus Statement on Inpatient Glycemic Control
2009 AACE AACE-ADA Consensus Statement on Inpatient Glycemic Control
2009 AACE The Role of Pharmacy in Improving Glycemic Control in the Acute Care Setting
2009 AACE References and Key Readings
2009 Cavalcanti A randomized controlled trial comparing a computer-assisted insulin infusion protocol with a strict and a conventional protocol for glucose control in critically ill patients
2009 Cyrus Evaluation of compliance with a paper-based, multiplication-factor, intravenous insulin protocol
2009 Flanders Glycemic Control and Insulin Safety: The Impact of Computerized Intravenous Insulin Dosing
2009 Hermayer Impact of improvement efforts on glycemic control and hypoglycemia at a University Medical Center
2009 Juneja Computerized intensive insulin dosing can mitigate hypoglycemia and achieve tight glycemic control when glucose measurement is performed frequently and on time
2009 Korytkowski Insulin therapy and glycemic control in hospitalized patients with diabetes during enteral nutrition therapy: a randomized controlled clinical trial
2009 Lipshutz Perioperative glycemic control: an evidence-based review
2009 Maynard Improved inpatient use of basal insulin, reduced hypoglycemia, and improved glycemic control: effect of structured subcutaneous insulin orders and an insulin management algorithm
2009 Sharma Optimizing perioperative glycemic control
2009 Subramaniam Continuous perioperative insulin infusion decreases major cardiovascular events in patients undergoing vascular surgery: a prospective, randomized trial
2009 Thompson Improving insulin ordering safely: the development of an inpatient glycemic control program
2009 Umpierrez Basal versus sliding-scale regular insulin in hospitalized patients with hyperglycemia during enteral nutrition therapy
2009 Weant Conversion from continuous insulin infusions to subcutaneous insulin in critically ill patients
2008 Brixner Brixner_AMJManagCare_2008
2008 Davidson Davidson_JDiabetesSciTechnol_2008
2008 Maynard Perioperative care of the geriatric patient with diabetes or hyperglycemia
2008 Moghissi Insulin strategies for managing inpatient and outpatient hyperglycemia and diabetes
2008 Noschese Effect of a diabetes order set on glycaemic management and control in the hospital
2007 Magee Hospital protocols for targeted glycemic control: development, implementation, and models for cost justification
2006 Button Glycemic control after coronary bypass graft: Using intravenous insulin regulated by a computerized system
2006 Schmeltz Schmeltz_EndocrPract_2006

Date

Author

Document

2009

AACE