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Updated: Jul 1, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Optimizing diabetes management through glucose profiling: a case-based approach
1David Geffen School of Medicine at UCLA, Los Angeles, CA 91037, USA. dstreja@ucla.edu
Abstract:
It is well documented that tight glucose control prevents the microvascular complications of diabetes, and many studies suggest that postprandial hyperglycemia may be associated with macrovascular complications. Maintaining target glucose values is challenging, as therapies are often not targeted to individual glucose excursion patterns. Postprandial SMBG values may be more tightly correlated to HbA1c than are fasting values. Studies of patients with pregnancies complicated by diabetes demonstrate that using SMBG around meals significantly improves glucose control and pregnancy outcomes. Adopting this model in type 2 diabetes may help achieve better glycemic control.
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