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Updated: May 9, 2026

Improving IV Insulin Administration in a Community Hospital

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Implementing diabetes care guidelines in long term care.

Kathy K Hager¹, Paul Loprinzi, Dennis Stone

¹Signature Healthcare, Louisville, KY; Bellarmine University, Louisville, KY.

Journal of the American Medical Directors Association

|August 6, 2013

Summary

This study evaluated a diabetes care program in a long-term care facility, finding favorable outcomes compared to existing literature. The program improved diabetes management and adherence to guidelines, highlighting the need for evidence-based interventions in long-term care.

Keywords:

Diabetes care guidelines diabetes prevalence in long term care scorecard tight blood sugar control in long term care residents

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Last Updated: May 9, 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:

Gerontology
Endocrinology
Healthcare Management

Background:

Diabetes management in long-term care facilities presents unique challenges.
Existing literature on diabetes care in nursing homes (2007-2012) provides a benchmark for evaluating facility-specific programs.
Optimizing diabetes care in long-term care is crucial for resident quality of life and health outcomes.

Purpose of the Study:

To describe the outcomes of a dedicated diabetes care program in a long-term care (LTC) setting.
To compare the facility's diabetes care outcomes with published literature from 2007-2012.
To identify areas for improvement in evidence-based diabetes guideline adherence within the LTC population.

Main Methods:

A three-year retrospective chart review of 48 residents with diabetes in a dedicated LTC facility.
Comparison of participant outcomes with data from relevant published studies (2007-2012).
Implementation of staff education, a nurse practitioner-led care model, and a scorecard for guideline adherence.

Main Results:

The studied LTC facility demonstrated favorable outcomes compared to existing literature.
Key improvements included lower A1C levels, more regular blood sugar and lipid monitoring, and appropriate use of medications.
Higher adherence to dietary recommendations and preventive anticoagulation criteria were also observed.

Conclusions:

The facility's diabetes care program achieved outcomes comparable or superior to current nursing home literature.
Identified weaknesses necessitate focused strategic planning for continuous quality improvement.
The study highlights the scarcity of data on guideline adherence and the need for adaptable, evidence-based interventions in LTC.
A collaborative model linking healthcare agencies with academia can support the implementation of evidence-based care guidelines.