Closed-loop management of inpatient hyperglycaemia.
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Publication Date
2019-11-02Journal Title
Br J Hosp Med (Lond)
ISSN
1750-8460
Publisher
Mark Allen Group
Volume
80
Issue
11
Pages
665-669
Language
eng
Type
Article
This Version
AM
Physical Medium
Print
Metadata
Show full item recordCitation
Boughton, C., & Hovorka, R. (2019). Closed-loop management of inpatient hyperglycaemia.. Br J Hosp Med (Lond), 80 (11), 665-669. https://doi.org/10.12968/hmed.2019.80.11.665
Abstract
The prevalence of diabetes in the inpatient setting is increasing, and suboptimal glucose control in hospital is associated with increased morbidity and mortality. Attaining the recommended glucose levels is challenging with standard insulin therapy. Hypoglycaemia and hyperglycaemia are common and diabetes management in hospital can be a considerable workload burden for health-care professionals. Fully automated insulin delivery (closed-loop) has been shown to be safe, and achieves superior glucose control than standard insulin therapy in the hospital, including in those patients receiving haemodialysis and enteral or parenteral nutrition where glucose control can be particularly challenging. Evidence that the improved glucose control achieved using closed-loop systems can translate into improved clinical outcomes for patients is key to support widespread adoption of this technology. The closed-loop approach has the potential to provide a paradigm shift in the management of inpatient diabetes, particularly in the most challenging inpatient populations, and may reduce staff work burden and the health-care costs associated with inpatient diabetes.
Keywords
Humans, Diabetes Mellitus, Type 1, Hyperglycemia, Insulin, Hypoglycemic Agents, Insulin Infusion Systems, Enteral Nutrition, Parenteral Nutrition, Critical Care, Hospitalization, Terminal Care, Renal Dialysis, Equipment Design, Adult, Child, Patient Satisfaction
Identifiers
External DOI: https://doi.org/10.12968/hmed.2019.80.11.665
This record's URL: https://www.repository.cam.ac.uk/handle/1810/299170
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