Massachusetts General Hospital Diabetes Center and Harvard Medical School, Boston, Massachusetts, USA.
Diabetes Care. 2010 Oct;33(10):2181-3. doi: 10.2337/dc10-0964. Epub 2010 Jul 27.
To determine whether an electronic order template for basal-bolus insulin ordering improves mean blood glucose in hospitalized general medical patients with hyperglycemia and type 2 diabetes.
We randomly assigned internal medicine resident teams on acute general medical floors to the use of an electronic insulin order template or usual insulin ordering. We measured diabetes care parameters for 1 month on all patients with type 2 diabetes and blood glucose <60 mg/dl or >180 mg/dl treated by these physicians.
Intervention group patients (n = 65) had mean glucose of 195 ± 66 mg/dl. Control group patients (n = 63) had mean glucose of 224 ± 57 mg/dl (P = 0.004). In the intervention group, there was no increase in hypoglycemia.
Access to a computer insulin order template was associated with improved mean glucose levels without increasing hypoglycemia in patients with type 2 diabetes.
确定用于基础-餐时胰岛素开具的电子医嘱模板是否能改善高血糖和 2 型糖尿病住院普通内科患者的平均血糖水平。
我们将急性普通内科住院部的内科住院医师团队随机分为使用电子胰岛素医嘱模板组或常规胰岛素开具医嘱组。我们测量了这些医生治疗的所有 2 型糖尿病且血糖＜60mg/dl 或＞180mg/dl 的患者 1 个月的糖尿病护理参数。
干预组患者（n=65）的平均血糖为 195±66mg/dl。对照组患者（n=63）的平均血糖为 224±57mg/dl（P=0.004）。在干预组中，并未出现低血糖增加的情况。
使用计算机胰岛素医嘱模板与改善 2 型糖尿病患者的平均血糖水平相关，而不会增加低血糖的发生。
