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Essay On Insulin Dosing

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Saur et al. (2013) conducted a level II prospective study to determine whether glycemic derangements are more effectively controlled using software-guided insulin dosing compared with paper-based protocols. The study evaluated 197 critically ill patients, by consecutive sampling, treated in a tertiary hospital surgical ICU between January 1-June 30, 2008 and January 1-September 30, 2009 (Saur et al., 2013). Patients who required continuous insulin infusions for hyperglycemia and had a minimum of a three-day stay in the ICU were included in the study. The population’s demographics did not statistically vary. The intervention group received the software-guided insulin dosing while the control group received the standard care. The standard …show more content…

The nursing staff should activate insulin-dosing strategies with the goal of decreasing hyperglycemia, hypoglycemia, and glycemic variability (Saur et al., 2013).
Joshi et al. (2013) conducted a level II retrospective observational study to measure the efficacy and possible adverse consequences of tight blood glucose control when compared to relaxed control. The study took place at a community-based teaching hospital for hospitalized adults admitted to the ICU. The study population was divided into 3 groups: average BG value between 80 and 110 mg/dL, average BG value between 111 and 140 mg/dL, and average BG value between 141 and 180 mg/dL (Joshi et al., 2013). In order to be considered for the study, patients had to have greater than four blood glucose readings in the ICU. The researchers included both patients with and without diabetes mellitus in the study. This study was fairly large, with 12,857 patients meeting the inclusion criteria. The patient demographic of age did not vary significantly throughout the study. However, only females were included and the Caucasian population was nearly four times more than the African-American population and nearly 1,500 more patients than the Hispanic population. Data was collected through the Charlson Index score to calculate 10-year mortality rate for patients with multiple

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