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Updated: May 1, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Nutrition Support Team-Led Glycemic Control Program for Critically Ill Patients
Roland N Dickerson1, George O Maish2, Gayle Minard2
1Department of Clinical Pharmacy rdickerson@uthsc.edu.
Abstract:
Glycemic control is an important component of the metabolic management of the critically ill patient. Nutrition support teams are frequently challenged by complicated patients who exhibit multiple concurrent etiologies for hyperglycemia. Nutrition support teams can serve in a pivotal role in the development and evaluation of safe and effective techniques for achieving glycemic control. This review describes the efforts of a nutrition support team in achieving safe and effective glycemic control at their institution. Identification of target blood glucose concentration range, development, initiation, monitoring of a continuous intravenous insulin infusion algorithm, nursing adherence to the algorithm, modification of the algorithm based on the presence of conditions that alter insulin metabolism and glucose homeostasis, and transition of the patient who receives continuous enteral nutrition from a continuous intravenous insulin infusion to intermittent subcutaneous insulin therapy are discussed.
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