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 Experiment Videos

An improved method for blood glucose control during nutritional support.

A M Woolfson

    JPEN. Journal of Parenteral and Enteral Nutrition
    |September 1, 1981
    PubMed
    Summary

    Managing hyperglycemia in critically ill patients receiving nutritional support can be challenging. A novel intravenous insulin infusion scale offers a successful, safe, and efficient method for stabilizing blood glucose levels.

    Related Concept Videos

    You might also read

    Related Articles

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

    Sort by
    Same author

    Effect of Acute and Chronic Dosing over 24 Hours.

    Proceedings of the Royal Society of Medicine·2010
    Same author

    Elective nutritional support after major surgery: a prospective randomised trial.

    Clinical nutrition (Edinburgh, Scotland)·1989
    Same author

    Metabolic changes of recovery.

    The American journal of occupational therapy : official publication of the American Occupational Therapy Association·1989
    Same author

    Recovery and rehabilitation.

    Physical therapy·1988
    Same author

    Biochemistry of hospital nutrition. Energy and nitrogen requirements.

    Contemporary issues in clinical biochemistry·1986
    Same author

    Biochemistry of hospital nutrition. Monitoring treatment.

    Contemporary issues in clinical biochemistry·1986

    Area of Science:

    • Critical Care Medicine
    • Endocrinology
    • Clinical Nutrition

    Background:

    • Hyperglycemia is a significant issue in critically ill patients requiring nutritional support.
    • Traditional glucose monitoring methods (urine sliding scale) are often too slow to manage blood glucose effectively.
    • Frequent reassessment of insulin doses is required when using bedside glucose monitoring.

    Purpose of the Study:

    • To evaluate a new method for managing hyperglycemia in critically ill patients.
    • To assess the efficacy and safety of an intravenous insulin infusion scale.
    • To improve blood glucose control in patients receiving nutritional support.

    Main Methods:

    • Implementation of a standardized scale for adjusting intravenous insulin infusion rates via syringe pump.
    • Application of the same scale across all blood glucose levels and insulin doses.
    • Inclusion of a safety modification to the infusion scale.

    Main Results:

    • Successful stabilization of blood glucose concentrations in 39 patients within a median of 9 hours.
    • Effective management of hyperglycemia even with high insulin doses.
    • No instances of dangerous hyperglycemia or hypoglycemia reported.

    Conclusions:

    • The proposed intravenous insulin infusion scale provides a remarkably successful and safe method for managing hyperglycemia in critically ill patients.
    • This approach simplifies insulin dose adjustments and improves glycemic control.
    • A recent modification further enhances safety without compromising control.

    Related Experiment Videos