title: A Retrospective Chart Review of Two Different Insulin Administration Systems on Glycemic Control in Older Adults in Long-Term Care.
abstract: The current retrospective chart review compared glycemic control and cost impact of two insulin administration systems, V-Go®versus usual care with standard of care (SOC) insulin injections, in eight patients residing in a nursing home (NH). A total of 1,937 blood glucose (BG) values were collected over 61 days. Significant improvements were observed for the V-Go versus SOC group in time in range 100 mg/dL to 200 mg/dL (V-Go 59.09% vs. SOC 34.02%; p < 0.001), reduced BG fluctuations as measured by standard deviation (V-Go 61.2 vs. SOC 92.1; p < 0.001), and improved mean daily BG (V-Go 159.38 mg/dL vs. SOC 223.86 mg/dL; p < 0.001). The estimated A1c change, calculated from BG values, decreased from 8.9% to 7.2% in the V-Go group and increased from 9.0% to 9.4% in the SOC group. Compared to SOC, use of V-Go decreased the mean time for insulin administration by nursing staff by 26.3 minutes per patient per day and associated labor costs by $328.75 per patient per month. Insulin administration with V-Go may improve glycemic control and reduce administration costs compared to existing care in the NH setting. [Journal of Gerontological Nursing, 43(1), 10-16.].
authors.forename: Alan
authors.initials: A
authors.lastname: Boonin
authors.forename: Brenda
authors.initials: B
authors.lastname: Balinski
authors.forename: Jerry
authors.initials: J
authors.lastname: Sauter
authors.forename: Joe
authors.initials: J
authors.lastname: Martinez
authors.forename: Scott
authors.initials: S
authors.lastname: Abbott
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001786:Blood Glucose / Q000378:metabolism*; D005260:Female; D006801:Humans; D007328:Insulin / Q000008:administration & dosage*; D008134:Long-Term Care; D008297:Male; D009735:Nursing Homes / Q000458:organization & administration*; D012189:Retrospective Studies
chemical_list: D001786:Blood Glucose; D007328:Insulin