Timing of insulin with meals in the hospital: a systems improvement approach
K Dungan - Current Diabetes Reports, 2019 - Springer
K Dungan
Current Diabetes Reports, 2019•SpringerAbstract Purpose of Review Coordination of glucose monitoring, mealtimes, and insulin
delivery in the hospital is complex, involving interactions between multiple key agents and
overlapping workflows. The purpose of this review is to evaluate the scope of the problem as
well as to assess evidence for interventions. Recent Findings In recent years, there has
been an emphasis on systems-based approaches which address multiple contributing
components of the problem at once in an effort to more seamlessly integrate workflows …
delivery in the hospital is complex, involving interactions between multiple key agents and
overlapping workflows. The purpose of this review is to evaluate the scope of the problem as
well as to assess evidence for interventions. Recent Findings In recent years, there has
been an emphasis on systems-based approaches which address multiple contributing
components of the problem at once in an effort to more seamlessly integrate workflows …
Purpose of Review
Coordination of glucose monitoring, mealtimes, and insulin delivery in the hospital is complex, involving interactions between multiple key agents and overlapping workflows. The purpose of this review is to evaluate the scope of the problem as well as to assess evidence for interventions.
Recent Findings
In recent years, there has been an emphasis on systems-based approaches which address multiple contributing components of the problem at once in an effort to more seamlessly integrate workflows. Technological advances, such as decision support systems and advances in automated insulin delivery, and strategies that minimize the need for complex insulin regimens hold promise for future study.
Summary
Evaluation of the coordination of insulin delivery is limited by a lack of standardized metrics and systematically collected mealtimes. Nevertheless, successful efforts include system-wide multicomponent interventions, though advances in therapeutic approaches may be of value.
Springer
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