This course is Lesson 5 of a recently completed webinar entitled, "Managing Diabetes Complications." Successfully completing this lesson will earn 1.5 CEs. For accreditation information and presenter biographies, Click here.

Topics:

I. Prevalence of diabetes in the acute care setting
II. Link between glucose control and poor outcomes

a. Immune function
b. Cardiovascular system
c. Inflammation
d. Brain function

III. Glucose management Options

a. Blood glucose monitoring
a. Frequency
b. Targets
b. Insulin
c. Oral meds

IV. Insulin protocols
V. Special Situations

a. TPN use
b. Enteral feeding
c. Glucocorticoid therapy
d. Surgery

VI. Prevention of Hypoglycemia

a. Uniformity of insulin orders
b. Accuracy of insulin dosing
c. Patient self management
d. Staffing knowledge
e. Carbohydrate intake
f. Steroid use
g. NPO status
h. Treatment

VII. Discharge considerations
VIII. Outcomes

Behavioral/Learning Objectives:

1. State 2 ways to prevent hypoglycemia in the inpatient setting.
2. Describe how hyperglycemia influences inflammation.
3. List 2 reasons why insulin may be preferable to oral diabetes agents in the inpatient setting.