Factors Associated With Timely Blood Glucose Testing and Insulin Administration in Patients Receiving Mealtime Insulin Coverage in Medical Surgical Units

The Diabetes Educator
Ann R KaisenKelly A Bonito

Abstract

Purpose The purpose of the study was to identify the rate and factors associated with timely mealtime capillary blood glucose (CBG) testing and insulin coverage in hospitalized patients with diabetes. Methods A descriptive-correlational design was used with a random sample of patients (n = 77) and nurses (n = 36) on a medicine and a neuroscience unit of a large Magnet hospital. After written consent was obtained, post-meal patient and nurse interviews were conducted to collect information about patient, nurse, and situational factors known to influence timely mealtime diabetes care. Results Timely CBG testing occurred on 85.7% of the patient participants, and 71.4% received timely insulin coverage. Timely CBG testing was associated (unadjusted) with telling the patient care associate to obtain a finger stick (FS) prior to meals and patient off the unit during mealtime. The odds of having insulin administered on time was significantly and independently associated with the nurse caring for fewer patients, patients waiting for insulin prior to eating, and patients knowing pre-meal FS was high. Conclusions One situational factor and 2 patient factors were independently associated with timely insulin coverage prior to meals. Interve...Continue Reading

References

Apr 7, 2011·The Diabetes Educator·Barbara FreelandMaureen Anthony
Jan 10, 2012·The Journal of Clinical Endocrinology and Metabolism·Guillermo E UmpierrezUNKNOWN Endocrine Society
May 22, 2013·Clinical Therapeutics·Magdalena Bogun, Silvio E Inzucchi
Apr 10, 2014·Clinical Nurse Specialist CNS·Julie LampeLyne Chamberlain
Aug 8, 2015·Diabetes Spectrum : a Publication of the American Diabetes Association·Carlos E Mendez, Guillermo E Umpierrez
Dec 24, 2015·Diabetes Care·UNKNOWN American Diabetes Association

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Methods Mentioned

BETA
amputations
PCA
PCAs

Software Mentioned

SPSS

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