Continuous Intravenous Insulin: Ready for Prime Time
- Nancy J. D'Hondt, RPh, CDE
Abstract
In Brief
Hyperglycemia in the inpatient setting has been linked to poor outcomes. There is evidence that careful management of hyperglycemia in the acute care setting can decrease lengths of stay, morbidity, and mortality. In unstable, critically ill patients, blood glucose excursions are most effectively controlled through the use of continuous intravenous insulin infusion protocols. However, barriers remain to the acceptance and successful implementation of protocol-driven initiatives to achieve normoglycemia. A multidisciplinary team approach can help overcome staff misconceptions and fears regarding tight glycemic management in hospitalized patients.
Footnotes
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Nancy J. D'Hondt, RPh, CDE, is a clinical pharmacist at St. John Hospital and Medical Center in Detroit, Mich.
- American Diabetes Association
