Assessing inpatient glycemic control: What are the next steps?

Curtiss B. Cook, Kay E. Wellik, Gail L. Kongable, Jianfen Shu

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Despite the emergence of glucometrics (i.e., systematic analysis of data on blood glucose levels of inpatients) as a subject of high interest, there remains a lack of standardization on how glucose parameters are measured and reported. This dilemma must be resolved before a national benchmarking process can be developed that will allow institutions to track and compare inpatient glucose control performance against established guidelines and that can also be supported by quality care organizations. In this article, we review some of the questions that need to be resolved through consensus and review of the evidence, and discuss some of the limitations in analyzing and reporting inpatient glucose data that must be addressed (or at least accepted as limitations) before hospitals can commit resources to gathering, compiling, and presenting inpatient glucose statistics as a health care quality measure. Standards must include consensus on which measures to report, the unit of analysis, definitions of targets for hyperglycemia treatment, a definition of hypoglycemia, determination of how data should be gathered (from chart review or from laboratory information systems), and which type of sample (blood or point of care) should be used for analysis of glycemic control. Hospitals and/or their representatives should be included in the discussion. For inpatient glucose control to remain a focus of interest, further dialogue and consensus on the topic are needed.

Original languageEnglish (US)
Pages (from-to)421-427
Number of pages7
JournalJournal of diabetes science and technology
Volume6
Issue number2
DOIs
StatePublished - 2012

Fingerprint

Glucose
Inpatients
Quality of Health Care
Point-of-Care Systems
Clinical Laboratory Information Systems
Blood
Benchmarking
Health care
Hypoglycemia
Hyperglycemia
Standardization
Blood Glucose
Information systems
Statistics
Guidelines
Therapeutics

Keywords

  • Diabetes
  • Glucometrics
  • Hospitalizations
  • Inpatient glucose control

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Internal Medicine
  • Bioengineering
  • Biomedical Engineering

Cite this

Assessing inpatient glycemic control : What are the next steps? / Cook, Curtiss B.; Wellik, Kay E.; Kongable, Gail L.; Shu, Jianfen.

In: Journal of diabetes science and technology, Vol. 6, No. 2, 2012, p. 421-427.

Research output: Contribution to journalArticle

Cook, Curtiss B. ; Wellik, Kay E. ; Kongable, Gail L. ; Shu, Jianfen. / Assessing inpatient glycemic control : What are the next steps?. In: Journal of diabetes science and technology. 2012 ; Vol. 6, No. 2. pp. 421-427.
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