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Current Diabetes Reports
Published in: Current Diabetes Reports 11/2019

01-11-2019 | Insulins | Health Care Delivery Systems and Implementation in Diabetes (ME McDonnell and AR Sadhu, Section Editors)

Subcutaneous Insulin Dosing Calculators for Inpatient Glucose Control

Authors: Jagdeesh Ullal, Joseph A. Aloi

Published in: Current Diabetes Reports | Issue 11/2019

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Abstract

Purpose of Review

The goal of this review is to summarize information about insulin dosing software and calculators used as computerized decision support systems or electronic glucose management systems (eGMS). These are used for hospitalized, insulin-treated patients with diabetes. We describe the advantages and disadvantages and the rationale for their use.

Recent Findings

We compared commercially available insulin dosing software, namely, Glucommander™, EndoTool®, GlucoStabilizer®, and GlucoTab®, in addition to computerized order entry systems that are available in electronic health records. The common feature among these eGMS is their ability to limit occurrences of hypoglycemia while achieving and maintaining patients at target blood glucose level.

Summary

More research needs to be done examining the efficacy of eGMS in disease-specific states and their benefits and utility in preventing adverse outcomes. Their long-term benefits to health care systems are beginning to emerge in cost-saving benefits and prevention of readmissions.
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Metadata
Title
Subcutaneous Insulin Dosing Calculators for Inpatient Glucose Control
Authors
Jagdeesh Ullal
Joseph A. Aloi
Publication date
01-11-2019
Publisher
Springer US
Published in
Current Diabetes Reports / Issue 11/2019
Print ISSN: 1534-4827
Electronic ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-019-1254-y

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WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

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