Glucose Management

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People with diabetes are frequently admitted to the hospital and are more likely to have longer durations of hospital stay than people without diabetes. Controlling glucose levels during hospitalizations is vitally important since uncontrolled hyperglycemia is associated with adverse outcomes. Jane Jeffrie Seley, DNP, MSN, MPH, GNP, BC-ADM, CDCES, CDTC, FAAN discusses the treatment of people with diabetes who are admitted to general floors of the hospital.
Diabetes is a challenging disease to manage due to the multitude of therapeutic recommendations and the need for lifelong adherence. Reasons for non-adherence are multi-factorial, difficult to identify, and common in individuals with diabetes, which makes target glycemic control difficult to attain.
Effect of structured self-monitoring of blood glucose, with and without additional TeleCare support, on overall glycaemic control in non-insulin treated Type 2 diabetes: the SMBG Study, a 12-month randomized controlled trial.