Insulin stewardship for inpatient hyperglycaemia

J Pak Med Assoc. 2021 Jan;71(1(B)):379-382.

Abstract

Insulin usage is an essential component of glycaemic management. The frequent incidence of dysglycaemia in hospitalized patients means that insulin is frequently encountered in both critical and non-critical settings. To ensure that insulin is used effectively and safely, an insulin stewardship programme is needed in all health care settings. This article describes the rationale, components, and potential monitoring tools of insulin stewardship. It encourages readers to set up and audit insulin stewardship in their hospitals, for the betterment of patient care.

Keywords: Critical care, Diabetes, Fast-acting insulin, Inpatient hyperglycemia, Insulin, Intravenous insulin..

MeSH terms

  • Blood Glucose
  • Diabetes Mellitus, Type 2*
  • Humans
  • Hyperglycemia* / drug therapy
  • Hypoglycemic Agents / therapeutic use
  • Inpatients
  • Insulin / therapeutic use

Substances

  • Blood Glucose
  • Hypoglycemic Agents
  • Insulin