July 11, 2018
Presentation at Ohio University Diabetes Institute - Diabetes Coalition
High blood glucose levels contribute to inflammation and suppress the immune system. Hospitalized patients are particularly vulnerable to the damage these processes generate, since their condition requires acute care and their recovery depends on the body mobilizing all its resources for the healing process.
For those patients with diabetes mellitus, whether known or newly diagnosed, it is important to rapidly stabilize their glycemic profile without causing a dangerous low blood glucose experience (hypoglycemia). This is achieved through careful monitoring and judicious insulin administration. In the hospital, insulin will usually replace the oral agents patients may have been taking, permitting flexibility in dosing when meals are withheld or procedures are planned.
Dr. Mezitis discussed the management method developed by his group at
St. Luke's/Roosevelt Hospital Center in New York City and published for use in the hospital setting (2006). The novel 'wheel concept' graphically describes dosing levels for insulin and the decision sequence to be used by physicians and nursing staff in safely managing patients with high blood glucose levels.
For those patients with diabetes mellitus, whether known or newly diagnosed, it is important to rapidly stabilize their glycemic profile without causing a dangerous low blood glucose experience (hypoglycemia). This is achieved through careful monitoring and judicious insulin administration. In the hospital, insulin will usually replace the oral agents patients may have been taking, permitting flexibility in dosing when meals are withheld or procedures are planned.
Dr. Mezitis discussed the management method developed by his group at
St. Luke's/Roosevelt Hospital Center in New York City and published for use in the hospital setting (2006). The novel 'wheel concept' graphically describes dosing levels for insulin and the decision sequence to be used by physicians and nursing staff in safely managing patients with high blood glucose levels.
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