Nutrition support team-led glycemic control program for critically ill patients

Roland Dickerson, George O. Maish, Gayle Minard, Rex Brown

Research output: Contribution to journalArticle

6 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)534-541
Number of pages8
JournalNutrition in Clinical Practice
Volume29
Issue number4
DOIs
StatePublished - Jan 1 2014

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Critical Illness
Insulin
Intravenous Infusions
Patient Transfer
Enteral Nutrition
Hyperglycemia
Blood Glucose
Nursing
Homeostasis
Glucose
Therapeutics

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Cite this

Nutrition support team-led glycemic control program for critically ill patients. / Dickerson, Roland; Maish, George O.; Minard, Gayle; Brown, Rex.

In: Nutrition in Clinical Practice, Vol. 29, No. 4, 01.01.2014, p. 534-541.

Research output: Contribution to journalArticle

Dickerson, Roland ; Maish, George O. ; Minard, Gayle ; Brown, Rex. / Nutrition support team-led glycemic control program for critically ill patients. In: Nutrition in Clinical Practice. 2014 ; Vol. 29, No. 4. pp. 534-541.
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