Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Hypoglycemia and Glucagon01:15

Hypoglycemia and Glucagon

826
Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...
826
Diabetes: Management and Pharmacotherapy01:15

Diabetes: Management and Pharmacotherapy

861
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...
861
SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

5.7K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
5.7K
Glucose Homeostasis: Regulation of Blood Glucose01:02

Glucose Homeostasis: Regulation of Blood Glucose

3.8K
Carbohydrates consumed through foods are converted into glucose, a crucial energy source for the body. In the prandial state, high blood glucose levels stimulate the secretion of insulin from the pancreas. Insulin inhibits hepatic glucose production and stimulates glucose uptake and metabolism by muscle and adipose tissue. The excess glucose is converted into glycogen and stored in the liver and muscles.
During fasting, when blood glucose levels are low, the pancreas secretes glucagon. it...
3.8K
Pulse rhythm01:30

Pulse rhythm

1.3K
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
1.3K
Oral Hypoglycemic Agents: Glinides01:06

Oral Hypoglycemic Agents: Glinides

595
Repaglinide (Prandin) and Nateglinide (Starlix), known as glinides, are oral insulin secretagogues that stimulate insulin release from pancreatic β cells by closing the ATP-sensitive potassium channels (KATP channel). Repaglinide controls insulin release from pancreatic β cells by managing potassium efflux. It shares two binding sites with sulfonylureas and also has a unique site, indicating overlapping mechanisms of action. With a rapid onset and a 4-7 hour duration, it effectively...
595

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Exploring the Use of Persuasive System Design Principles to Enhance Medication Incident Reporting and Learning Systems: Scoping Reviews and Persuasive Design Assessment.

JMIR human factors·2024
See all related articles

Related Experiment Video

Updated: Jan 14, 2026

Improving IV Insulin Administration in a Community Hospital
12:08

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

19.3K

Revolutionizing Hypoglycemia Management in Long-Term Care: Lessons Learned From a Pilot Quality Improvement

Denis O'Donnell1, Sue Burns1, Shirley Drever2

  • 1CareRx Corporation, 320 Bay St. Suite 1200, Toronto, ON, M5H 4A6, Canada, 1 647-282-2736, 1 416-927-8405.

JMIR Diabetes
|October 20, 2025
PubMed
Summary

Continuous glucose monitoring (CGM) in long-term care homes reduced nursing workload by 40% and increased hypoglycemia detection 12-fold. This quality improvement initiative demonstrates a sustainable approach to diabetes management for residents.

Keywords:
continuous glucose monitoringdetectiondiabeteshypoglycemialong-term carenursing

More Related Videos

Simple Continuous Glucose Monitoring in Freely Moving Mice
03:25

Simple Continuous Glucose Monitoring in Freely Moving Mice

Published on: February 24, 2023

7.6K
A Method for Manipulating Blood Glucose and Measuring Resulting Changes in Cognitive Accessibility of Target Stimuli
08:01

A Method for Manipulating Blood Glucose and Measuring Resulting Changes in Cognitive Accessibility of Target Stimuli

Published on: August 12, 2016

9.4K

Related Experiment Videos

Last Updated: Jan 14, 2026

Improving IV Insulin Administration in a Community Hospital
12:08

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

19.3K
Simple Continuous Glucose Monitoring in Freely Moving Mice
03:25

Simple Continuous Glucose Monitoring in Freely Moving Mice

Published on: February 24, 2023

7.6K
A Method for Manipulating Blood Glucose and Measuring Resulting Changes in Cognitive Accessibility of Target Stimuli
08:01

A Method for Manipulating Blood Glucose and Measuring Resulting Changes in Cognitive Accessibility of Target Stimuli

Published on: August 12, 2016

9.4K

Area of Science:

  • Gerontology
  • Endocrinology
  • Healthcare Quality Improvement

Background:

  • Hypoglycemia is a significant problem for long-term care (LTC) residents with diabetes mellitus, leading to hospitalizations.
  • Current glucose monitoring practices in LTC facilities are often insufficient for effective diabetes management.
  • There is a lack of sustainable strategies for monitoring and maintaining glycemic control in LTC settings.

Purpose of the Study:

  • To describe a stepwise approach for implementing continuous glucose monitoring (CGM) in two LTC homes.
  • To evaluate the impact of CGM on nursing workload and hypoglycemia detection.
  • To assess the feasibility of a gradual transition to CGM for improved diabetes care in LTC.

Main Methods:

  • A quality improvement initiative involving a switch from fingerstick testing to CGM (FreeStyle Libre 2) in two LTC homes.
  • Implementation included staff education, structured monitoring (4 scans/day), and interdisciplinary rounds.
  • Data collected on glucose readings, hypoglycemia events (≤4 mmol/L), and nursing workload via surveys over 6 months pre- and post-intervention.

Main Results:

  • Nursing time per glucose reading decreased by 40% (5.1 to 3.1 minutes).
  • Frequency of glucose monitoring increased significantly (19,438 to 35,971 scans).
  • Detected hypoglycemic events increased 12-fold (88 to 1049), indicating improved detection.

Conclusions:

  • Continuous glucose monitoring (CGM) can effectively reduce nursing workload in LTC settings.
  • CGM significantly enhances the detection of hypoglycemic events in LTC residents with diabetes.
  • A gradual, stepwise transition to CGM is a sustainable strategy for overcoming implementation barriers and improving diabetes care in LTC.