title: A novel glucose-insulin infusion maintains perioperative glycaemic control through multiple transitions of care.
abstract: To measure the efficacy of the Glucose-Insulin Infusion--Parkland Protocol (GIPPr) compared to subcutaneous (SC) insulin, blood glucose readings were reviewed in diabetic adults admitted for surgical intervention of a soft tissue or bone infection in Dallas, Texas. Hypoglycaemia occurred in 0.69% of readings in GIPPr-treated patients compared to 4.52% in SC-treated patients. The GIPPr maintained a higher proportion of blood glucose readings between 3.89-10 mmol/L compared to SC insulin (85.40% versus 50.68%).
authors.affiliation: Children's Medical Center of Dallas, Dallas, Texas, USA.
authors.forename: Nora
authors.initials: N
authors.lastname: Renthal
authors.forename: Erin D
authors.initials: ED
authors.lastname: Roe
authors.forename: Beverley
authors.initials: B
authors.lastname: Adams-Huet
authors.forename: Philip
authors.initials: P
authors.lastname: Raskin
mesh_terms: D000328:Adult; D000465:Algorithms; D001786:Blood Glucose; D002985:Clinical Protocols; D003266:Continuity of Patient Care; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy*; D004359:Drug Therapy, Combination; D005260:Female; D005947:Glucose / Q000008:administration & dosage*; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage*; D007262:Infusions, Intravenous; D007328:Insulin / Q000008:administration & dosage*; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care; D012189:Retrospective Studies; D013549:Sweetening Agents / Q000008:administration & dosage*; D013781:Texas
chemical_list: D001786:Blood Glucose; D007004:Hypoglycemic Agents; D007328:Insulin; D013549:Sweetening Agents; D005947:Glucose