Moolchandani Priyanka, Patel Satya, Larsen Tyler, Moriates Christopher, Weinreb Jane, Everett Estelle
Medicine, University of California Los Angeles, Los Angeles, California, USA
Medicine, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA.
BMJ Open Qual. 2025 Mar 12;14(1):e003178. doi: 10.1136/bmjoq-2024-003178.
Inpatient hypoglycaemia is a significant concern in patients with diabetes due to its association with increased mortality. At the Veterans Affairs Greater Los Angeles Healthcare System, we developed a project to reduce overnight hypoglycaemia in hospitalised patients with diabetes by addressing insulin stacking, defined as insulin dosed within 4 hours of each other. By delaying the timing of bedtime correctional insulin administration in the electronic health record, we achieved a 28% reduction in the proportion of patients experiencing insulin stacking after one year. This led to significant decreases in overnight hypoglycaemia.
住院患者低血糖是糖尿病患者的一个重大问题，因为它与死亡率增加有关。在洛杉矶退伍军人事务部大洛杉矶医疗保健系统，我们开展了一个项目，通过解决胰岛素叠加问题来减少住院糖尿病患者的夜间低血糖，胰岛素叠加定义为在彼此4小时内给药的胰岛素。通过在电子健康记录中延迟睡前校正胰岛素的给药时间，我们在一年后将经历胰岛素叠加的患者比例降低了28%。这导致夜间低血糖显著减少。
