Abstract
To investigate the feasibility, safety and efficacy of the Nurse-Driven Diabetes In-Hospital Treatment protocol (N-DIABIT), which consists of nurse-driven correctional therapy, in addition to physician-guided basal therapy, and is carried out by trained ward nurses. Data on 210 patients with diabetes consecutively admitted in the 5-month period after the introduction of N-DIABIT (intervention group) were compared with the retrospectively collected data on 200 consecutive patients with diabetes admitted in the 5-month period before N-DIABIT was introduced (control group). Additional per-protocol analyses were performed in patients in whom mean patient-based protocol adherence was ≥ 70% (intervention subgroup, n = 173 vs. control subgroup, n = 196). There was no difference between the intervention and the control group in mean blood glucose levels (8.9 ± 0.1 and 9.1 ± 0.2 mmol/l, respectively; P = 0.38), consecutive hyperglycaemic (blood glucose ≥ 10.0 mmol/l) episodes; P = 0.15), admission duration (P = 0.79), mean number of blood glucose measurements (P = 0.21) and incidence of severe hypoglycaemia (P = 0.29). Per-protocol analyses showed significant reductions in mean blood glucose levels and consecutive hypoglycaemia and hype...Continue Reading
References
Mar 1, 1996·Diabetic Medicine : a Journal of the British Diabetic Association·C J CurrieJ R Peters
Sep 1, 1996·European Heart Journal·K MalmbergH Wedel
Mar 17, 2001·Diabetic Medicine : a Journal of the British Diabetic Association·D A CavanD Kerr
Jul 5, 2001·Diabetic Medicine : a Journal of the British Diabetic Association·M DaviesJ R Peters
Jan 17, 2002·The New England Journal of Medicine·G van den BergheR Bouillon
Mar 13, 2002·The Journal of Clinical Endocrinology and Metabolism·Guillermo E UmpierrezAbbas E Kitabchi
Dec 21, 2004·Diabetic Medicine : a Journal of the British Diabetic Association·M E WallymahmedI A MacFarlane
Aug 15, 2006·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Christopher A Newton, Sandra Young
Dec 6, 2007·Journal of Clinical Nursing·Nicola Carey, Molly Courtenay
Jan 19, 2008·Diabetic Medicine : a Journal of the British Diabetic Association·D FlanaganP Lynch
Jan 14, 2009·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Vasundhara CheekatiCurtiss B Cook
Nov 2, 2011·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Eli N DealGarry S Tobin
Dec 14, 2011·Diabetic Medicine : a Journal of the British Diabetic Association·M WhitstonB Young
Dec 14, 2011·Diabetic Medicine : a Journal of the British Diabetic Association·K NirantharakumarJ J Coleman
Jan 10, 2012·The Journal of Clinical Endocrinology and Metabolism·Guillermo E UmpierrezUNKNOWN Endocrine Society
Apr 20, 2012·European Journal of Anaesthesiology·Katrin StoeckleinChrista Boer
Jul 18, 2012·The American Journal of Medicine·Catherine H Y YuHenry Halapy
Jul 24, 2013·Diabetic Medicine : a Journal of the British Diabetic Association·N HolmanR J Young
Sep 10, 2013·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Farnoosh FarrokhiGuillermo E Umpierrez
Sep 10, 2013·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Patricia A MackeyCurtiss B Cook
Oct 12, 2013·International Journal of Clinical Practice·J M KhalidM Reaney
Oct 31, 2013·Diabetes Care·Carlos E MendezGuillermo E Umpierrez
Dec 21, 2013·Diabetes Care·UNKNOWN American Diabetes Association
Jan 23, 2014·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P De RangoM Lenti
Apr 3, 2014·International Journal of Nursing Practice·Gad SegalChaya Balik
Apr 3, 2014·Canadian Journal of Diabetes·Marie-Pierre RousseauFrédéric Bernier
Apr 22, 2014·Journal of Shoulder and Elbow Surgery·Brent A PonceFrancisco Soldado