Quick Start Basal-Bolus Insulin Badges

Posted on Sep 1, 2012 in Insulin Task Force Updates | Comments Off on Quick Start Basal-Bolus Insulin Badges

Quick Start Basal-Bolus Insulin Badges

The Insulin Task Force monitors blood glucose determinations throughout the hospital, and there has been a disturbing trend.  Our goal blood glucose range is 70 to 180.  Within the past year on the Summit campus, the percentage of blood glucose determinations within that range has dropped from 66 percent to 63 percent, and on the Ashby campus it has dropped from 67 percent to 58 percent.

Blood sugar control tends to be better in the ICUs, with the Summit campus reaching goal range in the critical care units 73 percent of the time and 70 percent of the time on the Ashby campus.  Physicians are encouraged to utilize the insulin pre-printed orders, which conform to the recognized standards of insulin administration of basal bolus insulin.

The task force has also developed a “Quick Start Basal-Bolus Insulin” badge, which can be affixed to our ID badges.  This badge contains the essential information for commencing basal-bolus insulin on inpatients and suggests appropriate dosing.  These badges can be obtained from Marilyn Barkin, R.N., at the Summit Case Management Office on the ground floor.

Data are emerging that patients with stress-induced hyperglycemia with no prior history of diabetes have equal to or greater morbidity and mortality than similar diabetic patients with similar degrees of hyperglycemia. Such patients with stress-induced hyperglycemia should be treated as diabetics, and similar blood sugar goals need to be applied to this population.

The “Diabetes Update” in this newsletter is the second in our series of diabetes case studies.