Carbohydrate Consumption, Insulin Dosing and Glucose Abnormalities in a Hospitalized Population
Year: 2010
Type: article
Study design: Observational Study
Abstract: A frequently cited concern is the occurrence of hyperglycemia in the inpatient hospital setting in patients with or without pre-diagnosed diabetes.Existing evidence shows when compared to patient with normal glucose levels, patients experiencing hyperglycemia and have another comorbidity requiring hospitalization need two to four times the length of stay and also an increased risk of developing other complications including morbidity and mortality.This study identifies the possible gaps in care that may result from poor glucose management by examining the diet, blood glucose levels and insulin administration.Eightytwo participants were drawn from the general medical ward and tray tickets, 24 hour food recall, the MAR and patient charts were used to collect data.Referrals from the floor dietitian were made based on exclusion and inclusion criteria and interviews conducted.Data obtained from the chart review of insulin dosing and administration, food recalls and patient interviews.Insulin should ideally be adjusted based on the amount of the meal consumed and what proportion of the meal is carbohydrate but findings were consistent with the hypothesis in that insulin dose was not being adjusted based on carbohydrate consumption as insulin administration usually takes place before the meal.An understanding of carbohydrate content in foods may help nursing, dietetics and all medical professionals optimize care for this patient population.Data from this study highlighted research gaps that may be taken into consideration for future research studies to optimize insulin administration for improved glucose control.
Author: Jennifer Hessling
Institution: University of Cincinnati
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W577805763