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Diabetes: Management and Pharmacotherapy

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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.
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Updated: Sep 4, 2025

Improving IV Insulin Administration in a Community Hospital

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Pharmacist Role in Providing Inpatient Diabetes Management.

J T Knezevich¹, A C Donihi², A T Drincic³

¹Department of Pharmaceutical and Nutrition Care, 984120 Nebraska Medical Center, University of Nebraska Medical Center, Omaha, NE, 68198-4120, USA. jknezevich@nebraskamed.com.

Current Diabetes Reports

|July 13, 2022

Summary

Pharmacists are vital for improving hospital glycemic management. Their leadership in interdisciplinary teams enhances patient outcomes and achieves glycemic targets effectively.

Keywords:

Acute glycemic management Collaborative practice agreement Diabetes education Diabetes stewardship Inpatient diabetes management Pharmacist Pharmacist consultant Pharmacy models of care

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Area of Science:

Healthcare Management
Clinical Pharmacy
Patient Safety

Background:

Hospital glycemic management is a significant challenge.
Achieving glycemic targets improves patient clinical outcomes.
Interdisciplinary teams are essential for successful glycemic control.

Purpose of the Study:

To summarize data on improved patient outcomes with pharmacist-led glycemic management.
To describe pharmacy stewardship models for institutional glycemic oversight.
To highlight the pharmacist's role in acute care glycemic management.

Main Methods:

Review of published literature on pharmacist interventions in glycemic management.
Analysis of patient-directed intervention models.
Description of pharmacy stewardship implementation and its impact.

Main Results:

Pharmacist involvement in patient-directed models improves glycemic control.
Pharmacy stewardship effectively shapes institutional practices for better glycemic management.
Pharmacists demonstrate versatility in various care models.

Conclusions:

Pharmacists are uniquely positioned to lead glycemic management initiatives.
Pharmacy-led interventions and stewardship enhance patient outcomes and institutional performance.
Integrating pharmacists into care models is crucial for optimizing acute glycemic management.