Managing Glucose Levels in Hospital Patients
This course, which addresses glucose management in hospital patients who aren’t critically ill, is based largely on guidelines from the American Diabetes Association and the American Association of Clinical Endocrinologists.
Over the past 25 years, more than twice as many patients have been discharged from U.S. hospitals with a diagnosis of diabetes mellitus (DM). Typically, about 25 percent of hospital patients have a diagnosis of DM or hyperglycemia during their hospital stay. Historically, managing hyperglycemia in the hospital has been seen as secondary to managing the admitting diagnosis. But a growing body of literature supports targeted glucose control because hyperglycemia in hospital patients can prolong lengths of stay, increase infection risk and raise mortality. This course, which addresses glucose management in hospital patients who aren’t critically ill, is based largely on guidelines from the American Diabetes Association and the American Association of Clinical Endocrinologists. The goal of this course is to provide nurses with information to better manage glucose in patients without critical illnesses. Content includes the role of subcutaneous insulin, conditions that can trigger hyperglycemia and management of hypoglycemia.
Key Learning Outcomes
- Identify the role of subcutaneous insulin in glucose management for non-critically ill inpatients.
- Describe how to manage hypoglycemia.
- Discuss glucose management in patients with conditions that can trigger hyperglycemia.
Bridget Everhart, MSN, RN, ACNP, CDE
Everhart is a registered nurse and acute care nurse practitioner with more than 15 years of experience in diabetes care and 25 years as a registered nurse. She has provided care for patients with diabetes in an outpatient endocrine practice and in the inpatient hospital setting. She has also been a clinical assistant professor in a university. She is the inpatient diabetes educator at UCH, where she teaches nurses, physicians and other staff about glucose management and insulin use. She also teaches patients diabetes self-management.
Stacey A. Seggelke, MS, RN, CDE, ACNS-BC, BC-ADM
Seggelke is a diabetes clinical nurse specialist at the University of Colorado School of Medicine. She was employed as a diabetes educator for seven years and has been a member of the Inpatient Glucose Management Team since 2008. She has published numerous articles on inpatient diabetes care.