Beat Mueller
Switzerland
Research Article
Incorporation of Nutritional Factors and Insulin Resistance into Insulin Sliding Scales in the Non-Critical Care Inpatient Setting: A “Before After” Study
Author(s): Philipp Schuetz, Nina Braun, Sara Germann, Annic Baumgartner and Beat MuellerPhilipp Schuetz, Nina Braun, Sara Germann, Annic Baumgartner and Beat Mueller
Objective: Current guidelines emphasise the importance of effective glucose control in medical inpatients outside critical care. Traditional glucose-adapted insulin sliding scales (SSCs) may inaccurately estimate insulin requirements, resulting in hypoglycaemia, hyperglycaemia, or both. We retrospectively performed a “before after” analysis investigating whether an SSC also incorporating carbohydrate intake and estimated insulin resistance (iSSC) improves glucose control relative to that with conventional SSCs.
Methods: We compared glucose control during the initial 120 inpatient hours inpatient groups with hospital diagnoses of lower respiratory tract infection or an acute cardiac condition and diabetes mellitus as comorbidity, one group treated during 2010, after introduction of an iSSC, and an historical control group treated during 2008, with an SSC as the st.. View More»
