June 9, 2019

Comparison of Hyperglycemia Management Protocols in the ICU: Standard Protocol versus eGlycemic Management System

In by Heather DelCarpini

Comparison of Hyperglycemia Management Protocols in the ICU: Standard Protocol versus eGlycemic Management System Presentation American Diabetes Association Scientific Sessions Date June 2019 Authors Jordan Messler,1 Guillermo Umpierrez2 BACKGROUND A variety of continuous insulin infusion (CII) algorithms are available to improve and maintain glycemic control in the ICU. American Diabetes Association guidelines state that: (a) insulin therapy should be initiated …

December 11, 2018

Financial Implications of Poor Glycemic Management & Improvement Strategies for Optimal Outcomes

In by Heather DelCarpini

Financial Implications of Poor Glycemic Management & Improvement Strategies for Optimal Outcomes Presentation IHI Annual National For​um on Quality Improvement in Health Care Date December 2018 Authors Mary Gaines, Damon Tanton, Richard Pratley BACKGROUND Approximately one-third of all hospitalized patients have diabetes, prediabetes or hyperglycemia. Numerous studies have observed that patients with poor glucose control have longer hospital stays, higher …

January 1, 2018

Safely Converting an Entire Academic Medical Center From Sliding Scale to Basal Bolus Insulin via Implementation of the eGlycemic Management System

In by Heather DelCarpini

Safely Converting an Entire Academic Medical Center From Sliding Scale to Basal Bolus Insulin via Implementation of the eGlycemic Management System Publication Journal of Diabetes Science and Technology Date January 2018 Authors Rosalina Newsom,1 Christopher Patty,1 Emma Camarena,1 Regina Sawyer,1 Raymie McFarland,2 Thomas Gray,1 Melanie Mabrey2 ABSTRACT Objective: Hyperglycemia is common in the inpatient setting and providers frequently rely on …

Risk of Hypoglycemia During Insulin Infusion Directed by Paper Protocol Versus Electronic Glycemic Management System in Critically Ill Patients at a Large Academic Medical Center

In by Heather DelCarpini

Risk of Hypoglycemia During Insulin Infusion Directed by Paper Protocol Versus Electronic Glycemic Management System in Critically Ill Patients at a Large Academic Medical Center Publication Journal of Diabetes Science and Technology Date January 2018 Authors Marina Rabinovich,1 Jessica Grahl,2 Emily Durr,1 Rita Gayed,1 Katleen Chester,1 Raymie McFarland,3 Barbara McLean3 ABSTRACT Background: Insulin infusions are commonly utilized to control hyperglycemia …

June 11, 2017

Safely Converting From Sliding Scale to Basal Bolus Insulin Across an Entire Medical Center via Implementation of the eGlycemic Management System

In by Heather DelCarpini

Safely Converting From Sliding Scale to Basal Bolus Insulin Across an Entire Medical Center via Implementation of the eGlycemic Management System Reduction in Hypoglycemic Events: 2,434 fewer hypoglycemic events with GM versus UC, resulting in savings of $7,141,356 over the first year, or $2,934 per event. Reduction in Average Length of Stay: 1.67 fewer days, resulting in savings over the …

May 19, 2017

Implementation of the eGlycemic Management System A Medical Center Case Study

In by Heather DelCarpini

Implementation of the eGlycemic Management System: A Medical Center Case Study Presentation International Hospital Diabetes Meeting Date May 2017 Authors Rosalina Newsom, Christopher Patty, Emma Camarena, Thomas Gray, Regina Sawyer, Brian Brown, Raymie McFarland BACKGROUND Hyperglycemia affects up to 40% of hospitalized patients and is associated with poor outcomes, including increased mortality, length of stay and surgical site infections. The …

Clinical Impact of Using eGlycemic Management System for Insulin Therapy at a Large Academic Medical Center

In by Heather DelCarpini

Clinical Impact of Using eGlycemic Management System for Insulin Therapy at a Large Academic Medical Center Presentation International Hospital Diabetes Meeting Date May 2017 Authors Marina Rabinovich, Barbara McLean, Guillermo Umpierrez OBJECTIVE The benefits of optimal glycemic control in hospitalized patients have been widely studied and strategies should focus on controlling hyperglycemia and avoiding hypoglycemia. The primary objective of this …

June 12, 2016

A Comparison of Glycemic Outcomes for Two Computerized Insulin Infusion Algorithms in CV Surgery Patients

In by Heather DelCarpini

A Comparison of Glycemic Outcomes for Two Computerized Insulin Infusion Algorithms in CV Surgery Patients Presentation American Diabetes Association Scientific Sessions Date June 2016 Authors Valerie Garrett,1 Linda Fornoff,1 Jodie Becker,1 Raymie McFarland,2 Robby Booth,2 Amy Henderson2 BACKGROUND Hyperglycemia in patients undergoing cardiovascular (CV) surgery is an independent risk factor for increased morbidity and mortality. Studies have shown that optimal …

Selecting the Initial Multiplier and Target Glucose of a Computer-Guided Insulin Delivery System (Glucommander) During Treatment of Diabetic Ketoacidosis

In by Heather DelCarpini

Selecting the Initial Multiplier and Target Glucose of a Computer-Guided Insulin Delivery System (Glucommander) During Treatment of Diabetic Ketoacidosis Presentation American Diabetes Association Scientific Sessions Date June 2016 Authors David Reyes-Umpierrez,1 Francisco Pasquel,1 Raymie McFarland,2 Robby Booth,2 Bruce Bode,3 Guillermo Umpierrez1 Introduction A variety of computer-based algorithms to direct nursing staff adjusting insulin infusion rate are commercially available for the …

Sepsis-Related Dysglycemia Can a Computerized IV Insulin Algorithm Improve Glycemic Control, Reduce Hypoglycemia and Reduce 30-Day Hospital Readmissions?

In by Heather DelCarpini

Sepsis-Related Dysglycemia: Can a Computerized IV Insulin Algorithm Improve Glycemic Control, Reduce Hypoglycemia and Reduce 30-Day Hospital Readmissions? Presentation American Diabetes Association Scientific Sessions Date June 2016 Authors Joseph Aloi,1 Raymie McFarland,2 Robby Booth,2 Amy Henderson2 BACKGROUND Dysglycemia has been shown to have a negative impact on patient outcomes including readmissions. Many acute illnesses can result in stress hyperglycemia, even …

April 4, 2016

Blood Glucose Control Using a Computer-Guided Glucose Management System in Allogeneic Hematopoietic Cell Transplant Recipients

In by Heather DelCarpini

Blood Glucose Control Using a Computer-Guided Glucose Management System in Allogeneic Hematopoietic Cell Transplant Recipients Publication Bone Marrow Transplant Date April 2016 AUTHORS C Espina,1 I Jenkins,2 L Taylor,1,2 R Farah,3 E Cho,1,2 J Epworth,1 K Coleman,1,2 J Pinelli,1,2 S Mentzer,1,2 L Jarrett,2 T Gooley,2 P O’Donnell,1,2,4 I Hirsch,1 M Bar,1,2 ABSTRACT Allogeneic hematopoietic cell transplantation (HCT) is a potentially …

October 22, 2015

eGlycemic Management System Provides Safe and Effective Glycemic Control for Stroke Patients Requiring Subcutaneous Insulin in the Hospital Setting

In by Heather DelCarpini

eGlycemic Management System Provides Safe and Effective Glycemic Control for Stroke Patients Requiring Subcutaneous Insulin in the Hospital Setting Presentation Annual Diabetes Technology Meeting Date October 2015 Authors Jagdeesh Ullal, Melanie Mabrey, Amy Henderson, Raymie McFarland, Robby Booth, Joseph Aloi Objective Admission hyperglycemia (>130 mg/dL) and persistent inpatient hyperglycemia (>48 hours) have been predictors of poor patient outcomes, including higher …

Finger Stickin’ Good – Improved Glycemic Control in CV Surgery Patients Provides Cost Savings Through Reduction in Point of Care Tests

In by Heather DelCarpini

Finger Stickin’ Good – Improved Glycemic Control in CV Surgery Patients Presentation Annual Diabetes Technology Meeting Date October 2015 Authors Amy Henderson, Andrew Rhinehart, Robby Booth, Raymie McFarland, Tamera Parsons, Lori Hubbard, Randall Ball Objective Glucose control with IV insulin has been shown to provide up to $2,700 in cost savings per patient undergoing cardiovascular surgery with a target of …

September 15, 2015

Randomized Controlled Trial of Intensive Versus Conservative Glucose Control in Patients Undergoing Coronary Artery Bypass Graft Surgery GLUCO-CABG Trial

In by Heather DelCarpini

Randomized Controlled Trial of Intensive Versus Conservative Glucose Control in Patients Undergoing Coronary Artery Bypass Graft Surgery: GLUCO-CABG Trial Publication Diabetes Care Date September 2015 Authors Guillermo Umpierrez,1 Saumeth Cardona,1 Francisco Pasquel,1 Sol Jacobs,1 Limin Peng,2 Michael Unigwe,1 Christopher Newton,1 Dawn Smiley-Byrd,1 Priyathama Vellanki,1 Michael Halkos,3 John Puskas,3 Robert Guyton,3 Vinod Thourani3 ABSTRACT Objective: The optimal level of glycemic control …

June 7, 2015

eGlycemic Management System Safely Achieves Rapid and Sustained Glycemic Control in Kidney Transplant Patients and Reduces Risk of Hypoglycemia Compared to Standard Treatment Protocols

In by Heather DelCarpini

eGlycemic Management System Safely Achieves Rapid and Sustained Glycemic Control in Kidney Transplant Patients and Reduces Risk of Hypoglycemia Compared to Standard Treatment Protocols Presentation American Diabetes Association Scientific Sessions Date June 2015 Authors Joseph Aloi,1 Raymie McFarland,2 Jadeesh Ullal,3 Melanie Mabrey,2,4 Kathy Price Ward3 Objective Management of patients with steroid-induced hyperglycemia can be difficult. Intravenous insulin infusions are generally …

Use of eGlycemic Management System Safely Achieves Optimal Subcutaneous Glycemic Control With Low Hypoglycemia in Patients Without Diabetes

In by Heather DelCarpini

Use of eGlycemic Management System Safely Achieves Optimal Subcutaneous Glycemic Control With Low Hypoglycemia in Patients Without Diabetes Presentation American Diabetes Association Scientific Sessions Date June 2015 Authors Joseph Aloi,1 Robby Booth,2 Raymie McFarland,2 Jagdeesh Ullal,3 Melanie Mabrey2 Objective Hyperglycemia, regardless of its cause, is clearly associated with adverse outcomes in hospitalized patients. Hyperglycemia in patients with no known history …

June 6, 2015

Patients With Kidney Disease Reach Target Glucose With Low Incidence of Hypoglycemia When IV Insulin Is Managed on eGlycemic Management System Glucommander

In by Heather DelCarpini

Patients With Kidney Disease Reach Target Glucose With Low Incidence of Hypoglycemia When IV Insulin Is Managed on eGlycemic Management System Glucommander Presentation American Diabetes Association Scientific Sessions Date June 2015 Authors Joe Aloi,1 Raymie McFarland,2 Robby Booth,2 Melanie Mabrey,2 Paul Chidester,3 Amy Henderson,2 Andrew Rhinehart2 Objective Glucose control in hospitalized patients with kidney disease can be challenging. The impact …

May 16, 2015

eGlycemic Management Solution Safely Achieves Multiple Prescribed Glycemic Targets with Rare Hypoglycemia for Geriatric Inpatients

In by Heather DelCarpini

eGlycemic Management Solution Safely Achieves Multiple Prescribed Glycemic Targets with Rare Hypoglycemia for Geriatric Inpatients Presentation American Association of Clinical Endocrinologists Scientific & Clinical Congress Date May 2015 Authors Joseph Aloi,1 Paul Chidester,2 Amy Henderson,3 Robby Booth,3 Raymie McFarland,3 Melanie Mabrey3 Objective The aging population and the number of older persons with diabetes is rising in the United States. Approximately …

eGlycemic Management Solution Safely Achieves Prescribed Glycemic Target with a Low Incidence of Hypoglycemia in Patients with Acute Myocardial Infarction in the Hospital

In by Heather DelCarpini

eGlycemic Management Solution Safely Achieves Prescribed Glycemic Target with a Low Incidence of Hypoglycemia in Patients with Acute Myocardial Infarction in the Hospital Presentation American Association of Clinical Endocrinologists Scientific & Clinical Congress Date May 2015 Authors Melanie Mabrey,1,2 Jagdeesh Ullal,3 Raymie McFarland,1 Robby Booth,1 Amy Henderson,1 Joseph Aloi4 Objective Acute myocardial infarction (AMI) patients presenting with hyperglycemia on admission …

eGlycemic Management Solution Safely Maintains Glycemic Targets With a Low Incidence of Hypoglycemia for Non-Diabetic CV Surgical Patients in the Inpatient Setting

In by Heather DelCarpini

eGlycemic Management Solution Safely Maintains Glycemic Targets With a Low Incidence of Hypoglycemia for Non-Diabetic CV Surgical Patients in the Inpatient Setting Presentation American Association of Clinical Endocrinologists Scientific & Clinical Congress Date May 2015 Authors Joseph Aloi,1 Paul Chidester,2 Jagdeesh Ullal,3 Amy Henderson,4 Robby Booth,4 Raymie McFarland4 Objective Patients without a prior diagnosis of diabetes admitted for cardiovascular (CV) …