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Carbohydrate Consumption, Insulin Dosing and Glucose Abnormalities in a Hospitalized Population

Hessling, Jennifer
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1276975349

Abstract Details

2010, MS, University of Cincinnati, Allied Health Sciences : Nutrition.
A frequently cited concern is the occurrence of hyperglycemia in the inpatient hospital setting in patients with or without pre-diagnosed diabetes. Existing evidence shows when compared to patient with normal glucose levels, patients experiencing hyperglycemia and have another comorbidity requiring hospitalization need two to four times the length of stay and also an increased risk of developing other complications including morbidity and mortality. This study identifies the possible gaps in care that may result from poor glucose management by examining the diet, blood glucose levels and insulin administration. Eighty-two participants were drawn from the general medical ward and tray tickets, 24 hour food recall, the MAR and patient charts were used to collect data. Referrals from the floor dietitian were made based on exclusion and inclusion criteria and interviews conducted. Data obtained from the chart review of insulin dosing and administration, food recalls and patient interviews. Insulin should ideally be adjusted based on the amount of the meal consumed and what proportion of the meal is carbohydrate but findings were consistent with the hypothesis in that insulin dose was not being adjusted based on carbohydrate consumption as insulin administration usually takes place before the meal. An understanding of carbohydrate content in foods may help nursing, dietetics and all medical professionals optimize care for this patient population. Data from this study highlighted research gaps that may be taken into consideration for future research studies to optimize insulin administration for improved glucose control.
Graciela Falciglia, PhD (Committee Chair)
Seung-Yeon Lee, PhD (Committee Member)
32 p.
Nutrition
hyperglycemia; hospital setting; glucose abnormalities

Recommended Citations

Citations

  • Hessling, J. (2010). Carbohydrate Consumption, Insulin Dosing and Glucose Abnormalities in a Hospitalized Population [Master's thesis, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1276975349

    APA Style (7th edition)

  • Hessling, Jennifer. Carbohydrate Consumption, Insulin Dosing and Glucose Abnormalities in a Hospitalized Population. 2010. University of Cincinnati, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1276975349.

    MLA Style (8th edition)

  • Hessling, Jennifer. "Carbohydrate Consumption, Insulin Dosing and Glucose Abnormalities in a Hospitalized Population." Master's thesis, University of Cincinnati, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1276975349

    Chicago Manual of Style (17th edition)

ucin1276975349
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© 2010, all rights reserved.
This open access ETD is published by University of Cincinnati and OhioLINK.