Faculty Sponsor

Jana Stedman

College

Nursing

Department/Program

Master of Science in Physician Assistant Studies

Presentation Type

Poster Presentation

Symposium Date

Summer 7-24-2024

Abstract

Objective: Sliding-scale insulin (SSI) is commonly used for hospitalized type 2 diabetics despite the American Diabetes Association’s (ADA) recommendations supporting basal-bolus insulin (BBI). This paper aims to distinguish what insulin regimen is beneficial for hospitalized diabetics, critical and non-critical, to improve patient outcomes.

Methods: A qualitative analysis of research conducted by different hospital systems and physicians in the past 5 years including 2 integrative literature reviews, 2 retrospective cohorts, 2 ambi-directional cohorts, and 1 quasi-experiment. After inclusion and exclusion criteria were applied, 7 studies were selected for this review. Outcomes of interest included target glycemic control (110-179mg/dL), decreased hypoglycemic rates, and length of hospital stay from admission.

Results: BBI has been proven to improve in-target ranges of blood glucose levels, decrease hypoglycemia episodes, decrease admission length, and decrease the delay of basal insulin administration. When implemented in hospitals through educational materials and employee training, their results show improved patient outcomes when switched to BBI regimens from standard SSI.

Conclusion: A BBI regimen is the best practice guideline for treating non-critical hospitalized type 2 diabetics.

Keywords: type 2 diabetes, hospitalization, basal-bolus insulin, sliding-scale insulin, glycemic control, length of admission, hypoglycemic episodes

Biographical Information about Author(s)

Michelle has a special interest in rural healthcare and will be working as a family medicine PA following graduation. Her research topic on best practice management for hospitalized diabetics was inspired by her experience in her endocrinology rotation. She is a member of the Indiana Rural Health Association (IRHA), Indiana Academy of Physician Assistants (IAPA), and the American Academy of Physician Associates (AAPA).

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