Understanding and improving management of inpatient diabetes mellitus: The mayo clinic arizona experience

Curtiss B. Cook, Richard S. Zimmerman, Susanne M. Gauthier, Janna C. Castro, Kimberly A. Jameson, Stephanie D. Littman, Janice M. Magallanez

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

We present an overview of strategies our institution has taken to understand the state of its inpatient diabetes management. We first describe how we utilized information systems to assess inpatient glycemic control and insulin management in noncritically ill patients and discuss our findings regarding mean bedside glucose levels, the prevalence and frequency hypoglycemic and hyperglycemic events, the patterns of insulin therapy, and evidence of inpatient clinical inertia. We also review the development of a survey to determine practitioner attitudes and beliefs about inpatient diabetes. Results of this survey study found that, in general, practitioners believed in the importance of controlling hyperglycemia but were not comfortable with many aspects of inpatient diabetes care, particularly with the use of insulin. Finally, we suggest steps to follow in developing a qualityimprovement program for hospitals.

Original languageEnglish (US)
Pages (from-to)925-931
Number of pages7
JournalJournal of Diabetes Science and Technology
Volume2
Issue number6
DOIs
StatePublished - Nov 2008

Keywords

  • Diabetes mellitus hospitalizations
  • Hyperglycemia
  • Hypoglycemia
  • Insulin

ASJC Scopus subject areas

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

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    Cook, C. B., Zimmerman, R. S., Gauthier, S. M., Castro, J. C., Jameson, K. A., Littman, S. D., & Magallanez, J. M. (2008). Understanding and improving management of inpatient diabetes mellitus: The mayo clinic arizona experience. Journal of Diabetes Science and Technology, 2(6), 925-931. https://doi.org/10.1177/193229680800200602