| Topic: | Diabetes (DM) |
| Title: | Insulin Management of Hospitalized Diabetic Patients. |
| Author: | Nathan, M.H.; Leahy, J.L. |
| Source: | In: Leahy, J.L. and Cefalu, W.T., eds. Insulin Therapy. Monticello, NY: Marcel Dekker, Inc. 2002. p. 153-172. |
| Availability: | Available from Marcel Dekker, Inc. Cimarron Road, P.O. Box 5005, Monticello, NY 12701. (845) 796-1919 or (800) 228-1160. Fax (845) 796-1772. Email: custserv@dekker.com. Website: www.dekker.com. PRICE: $99.75. ISBN: 824707117. |
| Abstract: | Adults with diabetes mellitus are admitted to the hospital more frequently than adults who don't have diabetes, often for prolonged periods. Particularly common are admissions for hyperglycemic emergencies, local or systemic infections, unstable angina or myocardial infarction (heart attack), stroke, and orthopedic injuries. This chapter on insulin management of hospitalized diabetes patients is from a reference book that explores the pharmacokinetics of insulin and insulin programs. The book focuses on the latest blood glucose self-monitoring equipment and assessment strategies that can achieve optimal glycemic control and thus reduce the occurrence of complications including retinopathy (eye disease), neuropathy (nerve disease), nephropathy (kidney disease) and cardiovascular disease. In this chapter, the authors discuss the importance of identifying patients with diabetes, classification (type of diabetes), nutritional status and required caloric support for the patient, inpatient blood glucose monitoring, glycemic goals, the use of sliding scales, insulin algorithms, inpatient insulin programs, the use of intravenous insulin infusions, caring for patients receiving enteral nutrition, caring for patients receiving parenteral nutrition, and preoperative care. The authors conclude by reiterating that optimal care of hospitalized patients with diabetes cannot, and should not, ignore control of their glycemia. 4 tables. 22 references. |
| Format: | Book Chapter |
| Language: | English. |
| Major Keywords: | Diabetes Mellitus. Patient Care Management. Type 1 Diabetes. Intensive Diabetes Management. Insulin. Drug Therapy. Hospital Care. Delivery of Health Care. |
| Minor Keywords: | Hyperglycemia. Complications. Hypoglycemia. Administration and Dosage. Blood Glucose. Patient Care Team. Preoperative Care. Insulin Administration. |
| Publication Number: | DMBK11677 |
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