DOING IT BETTER: Using insulin to prevent hyperglycemia in surgical patients

October 2004 
Volume 34  Number 10
Pages 22 - 22
  PDF Version Available!


  • Crafting a protocol

  • Results and reevaluation



    AT ANY GIVEN POINT, up to 25% of hospitalized patients are known to have diabetes; many more inpatients are hyperglycemic from undiagnosed diabetes, new medications, or stress. Research has shown that controlling blood glucose levels reduces length of stay, helps prevent complications such as infection, improves wound healing, and saves health care costs. The American College of Endocrinology (ACE), American Association of Clinical Endocrinologists (AACE), and the American Diabetes Association (ADA) all recommend I.V. insulin to treat hyperglycemia in acute situations.

    Crafting a protocol

    Faced with an increased rate of infection (mediastinitis) among our cardiac surgery patients, we formed a multidisciplinary team to review the pros and cons of initiating an I.V. insulin protocol—a strategy ...

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