Inpatient diabetes managementGlucommander™GlucoTab®GlucoStabilizer®EndoTool®PURPOSE OF REVIEW:The goal of this review is to summarize information about insulin dosing software and calculators used as computerized decision support systems or electronic glucose management systems (eGMS). These are ...
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Inpatient insulin dosing systems, or eGlycemic management systems, have replaced paper protocols and have become best practice in top hospitals. Some hospitals have just computerized the paper protocols, but others have incorporated more complex algorithms for precise insulin dosing. For example,EndoTool...
Figure 3 shows the steps for initiation with basal insulin therapy. Bolus Insulin Regimen Most patients with T2DM may require mealtime bolus insulin dosing in addition to basal insulin. Rapid-acting analogues (insulin aspart, insulin lispro, or insulin glulisine) are preferred owing to their prompt...
Insulin prescription errors Diabetes inpatient Introduction Insulin is a life-sustaining medication but carries a significant risk of morbidity and mortality if omitted or an incorrect dose is administered.1,2 Due to availability of a wide range of insulin formulations and individualised dosing, there ...
Daily adherence to insulin was defined as the extent to which a patient acts in accordance with the prescribed interval and dose of a dosing regimen.13 Based on these definitions, the discontinuation of treat- ment after beginning was considered to be the cutoff point for nonpersistence, while ...
Glucose control in the medical patient: bolus insulin dosing compared to basal-bolus insulin dosing * The risk of hypoglycemia is a major barrier to initiating basal-bolus insulin therapy. Hypoglycemia is classified as a blood glucose level of <70 mg/dL, and severe hypoglycemia as <50 mg/dL,...
Typical dosing 1–2 times per day alone, or mixed with rapid- or short-acting insulin 3–4 times per day before meals or snacks Premixed Insulins Premixed insulins are also available in various formulations. Novolog mix 70/30, for example, contains 70% insulin aspart protamine and 30% ins...
This may be due to lower risk of hypoglycemia and greater flexibility in dosing associated with analog insulin. However, provider-related prescribing preferences for analog or human insulin may have also contributed to this finding. The finding that higher counts of concomitant ...
with less frequent dosing [7] and less hypoglycaemia [8]. How- ever, they have been associated with increased body weight and obesity. Treatment regimens that include exenatide twice daily (BID), a glucagon-like peptide-1 receptor agonist, have been reported to reduce HbA 1c by 0.8% to 1....