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Software-Guided Insulin Dosing Decreases Glycemic ...
Software-Guided Insulin Dosing Decreases Glycemic variability in critically Ill PatientsStanley A. Nasraway, Jr, MD., FCCM.; Sharon Holewinski, RN; Alexis L. Nasraway; Gail L. Kongable, MSN, FNPT ufts Medical Center; Tufts University School of Medicine, Boston, Massachusetts: USAB ackgroundSevere hyperglycemia increases mortality in critically ill patients, and this is now universally managed with intensive Insulin . Hypoglycemia, even when mild, is strongly associated with increased death in patients treated with intensive Insulin . Glycemic variability is commonly observed in critically ill patients, and is also now consistently associated with in-creased death in patients treated with intensive Insulin . This triad of hyperglycemia, hypoglycemia and Glycemic fluctuations represents a conundrum in sick patients, and is perpetuated by present-day methods that rely upon inter-mittent and sometimes inaccurate glucose measurements, while using sliding Insulin scales based on paper hypothesized that Software-Guided Insulin Dosing would be superior to paper-based protocols in controlling Glycemic variability , and would achieve safe, tight Glycemic control.
Software-Guided Insulin Dosing Decreases Glycemic Variability in Critically Ill Patients Stanley A. Nasraway, Jr, MD., FCCM.; Sharon Holewinski, RN; Alexis L. Nasraway; Gail L. Kongable, MSN, FNP
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