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Software might revolutionize glucose monitoring in critically ill patients
December 19, 2005Researchers have developed a new computerized system to easily monitor the levels of glucose in the blood of patients in intensive care. A study published today in the open access journal BMC Medical Informatics and Decision Making reports that GRIP, a computer software that assists in the monitoring of glucose levels in critically ill patients, saves nurses time and effort and is more efficient than the paper-based method currently used in many intensive care units (ICUs). Monitoring blood glucose levels is necessary to avoid stress hyperglycemia, an insulin resistance condition that causes glucose levels to go up and has been shown to decrease patient survival. GRIP will be released as open source software.
Mathijs Vogelzang and colleagues from University Medical Center Groningen in the Netherlands implemented GRIP in a 12-bed ICU, for four months. GRIP monitors glucose levels and recommends the appropriate insulin pump rate and the time at which the next blood sample should be taken, and indicates situations in which a physician needs to be notified. In many ICUs, nurses currently monitor glucose levels manually ten to twelve times a day and record their measurements on paper. A total of 179 patients were monitored using GRIP and 22 nurses filled in a questionnaire about the program.
Vogelzang et al.'s results show that 61% of the patients had the right glucose levels more than 75% of the time that they were monitored by GRIP. Only one patient suffered from very low glucose levels, and that was due to human error. Nurses found GRIP easy to use and all agreed that it is an improvement over the paper-based method. Because they only have to control patients six times a day with GRIP, they can monitor more patients and they do not have to call a physician as often as with the current method.
BioMed Central
BioMed Central
Glucose Levels Current Events and Glucose Levels News RSSResearchers discover mechanism of insulin production that can lead to better treatment for diabetes
How a specific gene within the pancreas affects secretion of insulin has been discovered by researchers from the Hebrew University of Jerusalem, in collaboration with Japanese and American universities.
A decade later, lifestyle changes or metformin still lower type 2 diabetes risk
Intensive lifestyle changes aimed at modest weight loss reduced the rate of developing type 2 diabetes by 34 percent compared with placebo in people at high risk for the disease, researchers conclude based on 10 years of data.
Should children undergo surgery without a long period of fasting after feeding?
Blood glucose levels in a lot of patients fed normal liquid food (NLF) and a high calorie diet (HCD) were high.
URI nutritionist finds chewing gum can reduce calorie intake, increase energy expenditure
A nutrition professor at the University of Rhode Island studying the effects of chewing sugar-free gum on weight management has found that it can help to reduce calorie intake and increase energy expenditure.
Healthy neighborhoods may be associated with lower diabetes risk
Individuals living in neighborhoods conducive to physical activity and providing access to healthy foods may have a lower risk of developing type 2 diabetes in a five-year period, according to a report in the October 12 issue of Archives of Internal Medicine, one of the JAMA/Archives journals.
Self monitoring of blood glucose levels helps patients with diabetes
Self-monitoring of blood glucose (SMBG) enables those with diabetes to modify their behavior, adjust their medicine and understand their disease to better manage it.
Is inhaled insulin delivery still a possibility? Why has it been a commercial failure?
The commercial failure of Exubera® (Pfizer, New York, NY), the first inhaled insulin product to come to market, led other companies such as Eli Lilly-Alkermes to halt studies of similar drug delivery in development intended to compete for a share of the lucrative diabetes market.
Postmenopausal women benefit from endurance training as much as younger women
Marilyn Graham was 56 when she signed up for a grueling hour of cycling each morning for 12 weeks, occasionally decked out in a mask, a heart monitor and a bag of intravenous fluid and subjected to needle pricks to obtain blood samples.
Team reveals molecular mechanism underlying a form of diabetes
By investigating a rare and severe form of diabetes in children, University of Iowa researchers have discovered a new molecular mechanism that regulates specialized pancreatic cells and insulin secretion.
Biotransformed blueberry juice fights fat and diabetes
Juice extracted from North American lowbush blueberries, biotransformed with bacteria from the skin of the fruit, holds great promise as an anti-obesity and anti-diabetic agent.
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