What is the American College of Endocrinology and American Diabetes Association consensus statement on IV insulin therapy?

Updated: Nov 06, 2018
  • Author: Guy W Soo Hoo, MD, MPH; Chief Editor: George T Griffing, MD  more...
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Answer

Answer

In 2006, the American College of Endocrinology and American Diabetes Association released a consensus statement on inpatient glycemic control. [7] They reiterated the impact of tight glycemic control on improved clinical outcomes. Although implementation of new protocols at institutions would create an increase in cost upfront, such an investment would reap long-term financial benefits by potentially reducing morbidity and patients’ length of stay. Quality and safety issues were addressed in light of the dangers of hypoglycemia; common errors include a lack of coordination between feeding and the administration of medications, insufficient blood glucose monitoring, unclear and unstandardized orders, and a failure to recognize changes in the underlying medical conditions that may alter changes in insulin requirements. Insulin protocols are expected to increase the incidence of hypoglycemia; however, the harm of hypoglycemia can be minimized if mild, transient, and rapidly diagnosed.


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