Physiologic insulin protocols are replacing conventional sliding-scale practices in hospitals because of their flexibility in adapting doses to the patient's nutritional intake and insulin sensitivity. Although many noncritical wards have updated their prandial therapy to insulin-to-carbohydrate ratios, most hospitals continue fixed preprandial dosing. If patients are receiving fixed dose insulin based on prescribed nutrition and they are not consuming what is provided, the obvious outcome is an increased risk for hypoglycemia. Despite this, there are no studies aimed at profiling nutritional intake for patients with diabetes in the noncritical setting. This study was conducted for that purpose. The results validated the positivistic knowledge that these patients do not generally eat all of their rations. Further, this study included an ancillary investigation for the quality of compliance to new diabetic protocols as recorded in paper-based patient records compared to computerized medical records.
|School:||California State University, Long Beach|
|School Location:||United States -- California|
|Source:||MAI 52/06M(E), Masters Abstracts International|
|Subjects:||Nursing, Nutrition, Health care management|
|Keywords:||Basal bolus correction, Diabetic nutrition, Inpatient diabetic nutritional intake, Inpatient glycemic control, Inpatient glycemic management, Inpatient hypoglycemia|
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