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Diabetes: Management and Pharmacotherapy

Diabetes: Management and Pharmacotherapy

The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...

Diabetes Mellitus: Introduction

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Diabetes mellitus consists of chronic metabolic disorders characterized by persistent hyperglycemia. This elevated blood glucose results from defects in insulin secretion, impaired insulin action, or both. Insulin, produced by pancreatic β-cells, is essential for maintaining glucose homeostasis by facilitating cellular glucose uptake for energy or storage. Disruptions in insulin production or function lead to glucose accumulation in the bloodstream, causing the clinical features and long-term...

Type II Diabetes I: Introduction

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Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder characterized by insulin resistance, in which target tissues such as the liver, muscle, and adipose tissue respond poorly to insulin. It is also associated with inadequate compensatory insulin secretion, where pancreatic β-cells fail to produce sufficient insulin. Together, these abnormalities lead to persistent hyperglycemia.EtiologyT2DM develops through a complex interaction of genetic predisposition and environmental or...

Diabetes Insipidus I: Introduction

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Type I Diabetes I: Introduction

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Updated: May 24, 2026

Improving IV Insulin Administration in a Community Hospital

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Improving prompt effectiveness in diabetes care: an intervention study.

Jason Patrick Bronner¹, John Fontanesi, Anupam Goel

¹Department of Medicine, University of California, San Diego, CA 92037, USA. jbronner@ucsd.edu

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality

|March 2, 2012

Summary

Implementing electronic medical record (EMR) prompts significantly improved the rate of ordering indicated diabetes monitoring tests. Integrating prompts with workflow and training enhanced their effectiveness in clinical decision support.

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Last Updated: May 24, 2026

Improving IV Insulin Administration in a Community Hospital

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Area of Science:

Health Informatics
Clinical Decision Support Systems
Quality Improvement in Healthcare

Background:

Electronic medical records (EMRs) are crucial for enhancing clinical decision-making and improving patient care quality.
Leveraging EMR decision-support functionalities is key to optimizing healthcare delivery.

Purpose of the Study:

To evaluate the impact of different electronic medical record (EMR) prompting strategies on the delivery of quality care.
To assess the effectiveness of EMR decision support in increasing the ordering of indicated diabetes monitoring tests.

Main Methods:

A nested, time-series, quasi-experimental design was employed across 5 primary care clinics within an academic medical group.
Three distinct implementation strategies for EMR prompting were compared.
The primary outcome measured was the rate of ordering all indicated diabetes monitoring tests during patient visits.

Main Results:

The rate of ordering all indicated diabetes monitoring tests increased from 29% to 49% (P < .001) with the implementation of well-designed EMR prompts and training.
Analysis included 16,511 visits from 3,730 patients.
Effectiveness of prompts was significantly enhanced when clinic workflow, staff training, and medical culture were considered.

Conclusions:

EMR-generated prompts can significantly improve the ordering of recommended monitoring tests, thereby enhancing quality care.
The success of EMR decision support relies on the integration of prompts within the existing clinical workflow and staff support.
Incorporating EMR prompts with consideration for clinic culture and training is vital for maximizing their impact on clinical practice.