Tight Glycemic Control: How Sweet It Is! . Virginia Point of Care Coordinators April 22, 2005. Disclosures. State faculty for the Surgical Infection Prevention Initiative No financial or other conflicts of interest Claudette Dalton, M.D. “What, me worry?”.
Virginia Point of Care Coordinators
April 22, 2005
Decreased oral intake
Chronic renal failure
Use of Beta blockers
Mistiming of meals in relationship to insulin dosing
Infrequent or missed monitoring
Lack of coordination with transportation and floor
Knowledge deficits by providers
Unreadable, unusual or convoluted orders
Difficult to follow protocols
Physician insisting on different protocolConditions that Predispose to Hypoglycemia
Patients with a blood sugar > 300 mg/dL during or within 48 hours of surgery had more than 3X the likelihood of a wound infection!
Latham R, et al. Infect Control Hosp Epidemiol. 2001.