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 …

May 4, 2017

“AUTO Study” AUtomatic Titration tO Target Subcutaneous Basal Bolus Insulin Management Using eGMS in the Non-ICU Setting

In by Heather DelCarpini

“AUTO Study” AUtomatic Titration tO Target: Subcutaneous Basal Bolus Insulin Management Using eGMS in the Non-ICU Setting Presentation American Association of Clinical Endocrinologists Scientific & Clinical Congress Date May 2017 Authors Joseph Aloi,1 Jagdeesh Ullal,2,3 Paul Chidester,3 Raymie McFarland4 BACKGROUND Hyperglycemia affects 30-40% of hospitalized patients and can be linked to poor outcomes, including increased mortality, longer length of hospitalization, …

April 23, 2017

Hospitalization Costs and Clinical Outcomes in CABG Patients Treated with Intensive Insulin Therapy

In by Heather DelCarpini

Hospitalization Costs and Clinical Outcomes in CABG Patients Treated with Intensive Insulin Therapy Publication Journal of Diabetes and Its Complications Date April 2017 Authors Saumeth Cardona,1 Francisco J. Pasquel,1 Maya Fayfman,1 Limin Peng,2 Sol Jacobs,1 Priyathama Vellanki,1 Jeff Weaver,3 Michael Halkos,4,5 Robert A. Guyton,4,5 Vinod H. Thourani,4,5 Guillermo E. Umpierrez1 ABSTRACT Background: The financial impact of intensive (blood glucose [BG] …

February 15, 2017

Time To Target Using eGMS To Manage Inpatient Subcutaneous Insulin Basal Bolus Regimen

In by Heather DelCarpini

Time To Target Using eGMS To Manage Inpatient Subcutaneous Insulin Basal Bolus Regimen Presentation International Conference on Advanced Technologies & Treatments for Diabetes Date February 2017 Authors Bruce Bode,1 Courtenay Harrison2 OBJECTIVE The importance of inpatient glycemic control on outcomes not only applies to patients managed with IV insulin in critical care areas but also patients on general surgical and …

Glucommander Outpatient, a Cloud-Based Insulin Management Solution, Titrated Patients to Goal in 11 Days and Sustained a 2.6% Drop in HBA1C Over 6 Months

In by Heather DelCarpini

Glucommander Outpatient, A Cloud-Based Insulin Management Solution, Titrated Patients to Goal in 11 Days and Sustained a 2.6% Drop in HBA1C Over 6 Months Presentation International Conference on Advanced Technologies & Treatments for Diabetes Date February 2017 Authors Bruce Bode,1 John Clarke1 BACKGROUND Treatment of diabetes with multiple daily injections (MDI), using a regimen of long-acting basal and rapid-acting bolus …

November 10, 2016

Relationship Between Glycemic Control Using eGMS and Readmission Rates in Cardiovascular Patients Hospitalized with AMI, CHF or Undergoing CABG During the Implementation of a System Wide Glycemic Initiative

In by Heather DelCarpini

Relationship Between Glycemic Control Using eGMS and Readmission Rates in Cardiovascular Patients Hospitalized with AMI, CHF or Undergoing CABG During the Implementation of a System Wide Glycemic Initiative Presentation Annual Diabetes Technology Meeting Date November 2016 Authors April Mumpower,1 Suqin Hou,2 Tamera Parsons,1 Raymie McFarland2 OBJECTIVE The CMS Hospital Readmission Reduction (HRR) program was initiated in 2012 to encourage hospitals …

Does Glycemic Control Using eGMS Reduce Readmission Rates for Hospitalized Patients Undergoing CABG?

In by Heather DelCarpini

Does Glycemic Control Using eGMS Reduce Readmission Rates for Hospitalized Patients Undergoing CABG? Presentation Annual Diabetes Technology Meeting Date November 2016 Authors April Mumpower,1 Tamera Parsons1 OBJECTIVE The CMS Hospital Readmission Reduction (HRR) program added Coronary Artery Bypass Grafting (CABG) to their list of diagnoses that will be measured beginning in October 2016. Hospitals will be penalized for readmission rates …

August 23, 2016

Comparison of an Electronic Glycemic Management System Versus Provider-Managed Subcutaneous Basal Bolus Insulin Therapy in the Hospital Setting

In by Heather DelCarpini

Comparison of an Electronic Glycemic Management System Versus Provider-Managed Subcutaneous Basal Bolus Insulin Therapy in the Hospital Setting Publication Journal of Diabetes Science and Technology Date August 2016 Authors Joseph Aloi,1 Bruce Bode,2 Jagdeesh Ullal,3 Paul Chidester,4 Raymie McFarland,5 Amy Bedingfield,5 Melanie Mabrey,5 Robby Booth,5 April Mumpower,6 Amisha Wallia7 ABSTRACT Background: American Diabetes Association (ADA) guidelines recommend a basal bolus …

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 …

Glucommander Outpatient, a Cloud-Based Insulin Management Solution Adjusted Insulin Doses and Achieved 2.7% Drop in A1c Percentage Points

In by Heather DelCarpini

Glucommander Outpatient, a Cloud-Based Insulin Management Solution Adjusted Insulin Doses and Achieved 2.7% Drop in A1c Percentage Points Presentation American Diabetes Association Scientific Sessions Date June 2016 Authors John Clarke, Bruce Bode, Robby Booth, Harry Hebblewhite BACKGROUND Treatment of diabetes with multiple daily injections, using a regimen of basal and rapid-acting insulins is widely accepted as the standard of care. …

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 …

The Frequency of Hypoglycemia in Hospitalized Patients Treated With Insulin Increases Overall Costs Associated with Hospitalization and Length of Stay

In by Heather DelCarpini

The Frequency of Hypoglycemia in Hospitalized Patients Treated With Insulin Increases Overall Costs Associated with Hospitalization and Length of Stay Presentation American Diabetes Association Scientific Sessions Date June 2016 Authors Joseph Aloi,1 Jagdeesh Ullal,2 Amy Henderson,3 Raymie McFarland3 BACKGROUND Hyperglycemia during hospitalization is associated with poor patient outcomes, as well as increased costs, due to impact on length of stay, …

May 26, 2016

Comparison of Computer-Guided Versus Standard Insulin Infusion Regimens in Patients with Diabetic Ketoacidosis

In by Heather DelCarpini

Comparison of Computer-Guided Versus Standard Insulin Infusion Regimens in Patients with Diabetic Ketoacidosis Presentation American Association of Clinical Endocrinologists Scientific & Clinical Congress Date May 2016 Authors Joseph Aloi,1 Harry Hebblewhite,2 Robby Booth,2 Bruce Bode,3 Raymie McFarland,2 David Reyes,4 Amy Henderson,2 Francisco Pasquel,4 Jagdeesh Ullal,5 Guillermo Umpierrez4 Background Continuous insulin infusion (CII) is widely accepted as the standard of care …

Improved Inpatient Hypoglycemia Rates With Electronic Glycemic Management System

In by Heather DelCarpini

Improved Inpatient Hypoglycemia Rates With Electronic Glycemic Management System Presentation American Association of Clinical Endocrinologists Scientific & Clinical Congress Date May 2016 Authors Joseph Aloi,1 Paul Chidester,2 Amy Henderson,3 Robby Booth,3 Raymie McFarland,3 April Mumford,4 Jagdeesh Ullal5 Background Hypoglycemia is a common adverse event for patients treated with insulin in the hospital setting, and is often considered the rate-limiting step …

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 …

January 19, 2016

Use of a Computer-Based Insulin Infusion Algorithm to Treat Diabetic Ketoacidosis in the Emergency Department

In by Heather DelCarpini

Use of a Computer-Based Insulin Infusion Algorithm to Treat Diabetic Ketoacidosis in the Emergency Department Publication Diabetes Technology & Therapeutics Date January 2016 Authors Jagdeesh Ullal,1 Raymie McFarland,2 Margaret Bachand,3 Joseph Aloi4 Abstract Background: Efforts at improving quality metrics in diabetes focus on minimizing adverse events and avoiding re-admissions to the hospital. Our experience with Glucommander (Glytec, Greenville, SC), a …

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 …