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dc.contributor.authorBoughton, CK
dc.contributor.authorHovorka, R
dc.date.accessioned2019-11-23T00:30:59Z
dc.date.available2019-11-23T00:30:59Z
dc.date.issued2019-11-02
dc.identifier.issn1750-8460
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/299170
dc.description.abstractThe 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.
dc.format.mediumPrint
dc.languageeng
dc.publisherMark Allen Group
dc.rightsAll rights reserved
dc.subjectHumans
dc.subjectDiabetes Mellitus, Type 1
dc.subjectHyperglycemia
dc.subjectInsulin
dc.subjectHypoglycemic Agents
dc.subjectInsulin Infusion Systems
dc.subjectEnteral Nutrition
dc.subjectParenteral Nutrition
dc.subjectCritical Care
dc.subjectHospitalization
dc.subjectTerminal Care
dc.subjectRenal Dialysis
dc.subjectEquipment Design
dc.subjectAdult
dc.subjectChild
dc.subjectPatient Satisfaction
dc.titleClosed-loop management of inpatient hyperglycaemia.
dc.typeArticle
prism.endingPage669
prism.issueIdentifier11
prism.publicationDate2019
prism.publicationNameBr J Hosp Med (Lond)
prism.startingPage665
prism.volume80
dc.identifier.doi10.17863/CAM.46235
rioxxterms.versionofrecord10.12968/hmed.2019.80.11.665
rioxxterms.versionAM
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2019-11
dc.contributor.orcidBoughton, Charlotte [0000-0003-3272-9544]
dc.contributor.orcidHovorka, Roman [0000-0003-2901-461X]
dc.identifier.eissn1759-7390
rioxxterms.typeJournal Article/Review
cam.orpheus.successThu Jan 30 10:35:26 GMT 2020 - Embargo updated
rioxxterms.freetoread.startdate2020-05-30


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