Computer-Based Versus Paper-Based Insulin Infusion Algorithms in Diabetic Ketoacidosis Publication Current Diabetes Reviews Date July 2019 Authors Moustafa Younis,1 John Pham,1 Hussein Asad,1 Majdi S. Hamarshi,1 ABSTRACT Background: Paper-based and computer-based insulin infusion algorithms facilitate appropriate glycemic therapy. The data comparing these algorithms in the management of diabetic ketoacidosis in the intensive care unit (ICU) setting are limited. We aimed …
June 9, 2019
Comparison of Hyperglycemia Management Protocols in the ICU: Standard Protocol versus eGlycemic Management System
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 …
November 9, 2018
Evaluating the Impact of eGMS Glucommander on Length of Stay, Hypoglycemia and Glucose Control in a Regional Medical Center
Evaluating the Impact of eGMS Glucommander on Length of Stay, Hypoglycemia and Glucose Control in a Regional Medical Center Presentation Annual Diabetes Technology Meeting Date November 2018 Authors LaTivia Carr, Cheryl Rogers, Daniel Ryan, Raymie McFarland, Nives Bernardi, Kelly Frey, Trisha Haines BACKGROUND Healthcare organizations face numerous challenges when implementing glycemic management improvement initiatives. This study examines differences in outcomes …
Safety and Efficacy of eGlycemic Management System among Labor and Delivery Patients at a Not-for-Profit Hospital in Hawaii
Safety and Efficacy of eGlycemic Management System among Labor and Delivery Patients at a Not-for-Profit Hospital in Hawaii Presentation Annual Diabetes Technology Meeting Date November 2018 Authors Venkataraman Balaraman, Pushpa Rayasam, Raymie McFarland BACKGROUND The American College of Obstetrics and Gynecology recommends tight glycemic control (blood glucose <110 mg/dL) during labor and delivery in patients with type 1, type 2 …
January 1, 2018
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
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 …
May 19, 2017
Clinical Impact of Using eGlycemic Management System for Insulin Therapy at a Large Academic Medical Center
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 …
April 23, 2017
Hospitalization Costs and Clinical Outcomes in CABG Patients Treated with Intensive Insulin Therapy
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] …
April 4, 2016
Blood Glucose Control Using a Computer-Guided Glucose Management System in Allogeneic Hematopoietic Cell Transplant Recipients
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 …
September 15, 2015
Randomized Controlled Trial of Intensive Versus Conservative Glucose Control in Patients Undergoing Coronary Artery Bypass Graft Surgery GLUCO-CABG Trial
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
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 …
May 16, 2015
eGlycemic Management Solution Provides Safe and Effective Meal Coverage for Critical Care and Surgery Patients Managed With IV Insulin in the Hospital
eGlycemic Management Solution Provides Safe and Effective Meal Coverage for Critical Care and Surgery Patients Managed With IV Insulin in the Hospital Presentation American Association of Clinical Endocrinologists Scientific & Clinical Congress Date May 2015 Authors Joseph Aloi,1 Jagdeesh Ullal,2 Paul Chidester,3 Amy Henderson,4 Raymie McFarland,4 Robby Booth4 Objective The management of post-operative and critically ill patients frequently requires the …
April 1, 2015
Practice Changes in Blood Glucose Management Following Open Heart Surgery: From a Prospective Randomized Study to Everyday Practice
Practice Changes in Blood Glucose Management Following Open Heart Surgery: From a Prospective Randomized Study to Everyday Practice Publication European Journal of Cardio-Thoracic Surgery Date April 2015 Authors Niv Ad, Henry Tran, Linda Halpin, Alan Speir, Anthony Rongione, Graciela Pritchard, Sari Holmes ABSTRACT Objectives: Targeted blood glucose (BG) levels following cardiac surgery continues to be debated. According to the Society …
October 30, 2014
Management of Hyperglycemia and Reduction in Hypoglycemia in Psychiatric Patients Using eGlycemic Management System
Management of Hyperglycemia and Reduction in Hypoglycemia in Psychiatric Patients Using eGlycemic Management System Presentation Annual Wireless Health Conference Date October 2014 Authors Stephen Ingram, Laurel Fuqua, Robby Booth, Andrew Rhinehart, Randall Ball, Tamera Parsons, Raymie McFarland Introduction Prevention of hypoglycemia and hyperglycemia are important for the proper management of diabetes as these acute complications are not only costly to …
September 1, 2014
Comparative Effectiveness of a Computerized Algorithm Versus a Physician Instituted Protocol to Manage Insulin Infusions After Cardiac Surgery
Comparative Effectiveness of a Computerized Algorithm Versus a Physician Instituted Protocol to Manage Insulin Infusions After Cardiac Surgery Presentation HMO Research Network Conference Publication Clinical Medicine & Research Date April 2014 AUTHORS Deepa Ponnusamy, Veronica Piziak, Sonal Patel, Rhonda Urbanosky BACKGROUND Glucose management after cardiac surgery in our hospital was done using a locally developed paper insulin infusion protocol. Prolonged …
June 15, 2014
Hospitalization Costs, Resource Utilization, and Clinical Outcome in Patients Undergoing CABG Receiving Intensive Versus Conservative Glucose Control
Hospitalization Costs, Resource Utilization, and Clinical Outcome in Patients Undergoing CABG Receiving Intensive Versus Conservative Glucose Control Presentation American Diabetes Association Scientific Sessions Date June 2014 Authors D Smiley,1 S Cardona,1 J Weaver,2 K Register,2 L Peng,3 F Pasquel,1 G Umpierrez1 Background It is estimated that 50-90% of patients undergoing coronary artery bypass (CABG) develop hyperglycemia during the hospital course …
May 6, 2014
Use of Computer-Based Insulin Delivery Method in Management Of Pediatric Diabetic Ketoacidosis (DKA) in a Pediatric Intensive Care Unit (PICU)
Use of Computer-Based Insulin Delivery Method in Management Of Pediatric Diabetic Ketoacidosis (DKA) in a Pediatric Intensive Care Unit (PICU) Presentation World Congress on Pediatric Intensive and Critical Care Date May 2014 Authors U Narsinghani,1 J Hutchins,1 B Smith2 Background DKA can be prevented, but accounts for a large proportion of mortality, morbidity and hospitalizations in patients with dlabetes, and …
May 18, 2012
Perioperative Use of the Glucommander for Glucose Control in Patients Undergoing Cardiac Surgery
Perioperative Use of the Glucommander for Glucose Control in Patients Undergoing Cardiac Surgery Presentation International Anesthesia Research Society Annual Meeting and International Science Symposium Date May 2012 Authors Julie Huffmyer, Franziska Blum, Danja Groves, Edward Nemergut Introduction Hyperglycemia is a common perioperative problem in both diabetic and non-diabetic patients undergoing cardiac surgery.1 Perioperative hyperglycemia is associated with increased morbidity and …
October 16, 2010
Use of the Glucommander for Glycemic Control in Cardiac Surgery Patients
Use of the Glucommander for Glycemic Control in Cardiac Surgery Patients Presentation American Society of Anesthesiologists Annual Meeting Date October 2010 Authors Julie Huffmyer, Edward Nemergut INTRODUCTION Over the past several years, multiple studies have illustrated the importance of glycemic control in the cardiac surgical patient. Perioperative hyperglycemia has been associated with an increased incidence of infection as well as …
October 12, 2010
A Comparison Study of Continuous Insulin Infusion Protocols in the Medical Intensive Care Unit Computer-Guided Vs. Standard Column-Based Algorithms
A Comparison Study of Continuous Insulin Infusion Protocols in the Medical Intensive Care Unit: Computer-Guided Vs. Standard Column-Based Algorithms Publication Journal of Hospital Medicine Date October 2010 Authors Christopher Newton,1 Dawn Smiley,1 Bruce Bode,2 Abbas Kitabchi,3 Paul Davidson,2 Sol Jacobs,1 R Dennis Steed,5 Frankie Stentz,3 Limin Peng,4 Patrick Mulligan,1 Amado Freire,3 Angel Temponi,1 Guillermo Umpierrez1 ABSTRACT Purpose: To compare the …
June 26, 2010
A Computerized Intravenous Insulin Controller (CIIC) Shows Significantly Less Hypoglycemia Than NICE-SUGAR and Eight Paper Protocols for Intensive Control – 0.3% vs. 12.6%
A Computerized Intravenous Insulin Controller (CIIC) Shows Significantly Less Hypoglycemia Than NICE-SUGAR and Eight Paper Protocols for Intensive Control – 0.3% vs. 12.6% Presentation International Hospital Diabetes Meeting American Diabetes Association Scientific Sessions Date May 2010 June 2010 Authors Paul Davidson, R Dennis Steed, Bruce Bode, Harry Hebblewhite Abstract The optimal target BG range for critically ill patients is controversial. …
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