Effects of a personalized insulin protocol for hyperglycemic or hypoglycemic patients on the Acute Care Surgery Service

Diabetes mellitus has been shown to be a predictor of poor outcomes in hospitalized trauma patients. The current methods used for in-hospital blood sugar control have been proven to be outdated and ineffective when used alone. Studies have shown that the more modern methods used for at home blood sugar control are much more effective at maintaining normal blood sugar levels. We propose that our “personalized” insulin protocol, which is individual weight-based, will afford better control of blood sugar levels for patients admitted to the hospital for the trauma and emergency general surgery services. We aim to demonstrate that this improved insulin protocol will decrease the occurrence of hyper- and hypoglycemic events and thus result in fewer complications amongst our patient population.

Basic eligibility criteria:
Please contact the study coordinator for additional eligibility information.

Inclusion Criteria:
• Admission to the Acute Care Surgery service (Trauma or Emergency General Surgery) at Banner UMC
• Admission hyperglycemia (blood glucose >135 mg/dL) or hypoglycemia (blood glucose < 70 mg/dL)
• Hyperglycemia (blood glucose >135 mg/dL) or hypoglycemia (blood glucose < 70 mg/dL) within the first 24 hours of admission
Exclusion Criteria:
• Pregnant females
• Children (less than 18 years) and neonates
• Prisoners

Primary disease category: Trauma & Emergency Medicine

Secondary disease categories: Diabetes & Endocrine System

Projected enrollment dates: May 2016 to May 2018

Official study title: Effects of a personalized insulin protocol for hyperglycemic or hypoglycemic patients on the Acute Care Surgery Service