Publication Date

5-2019

Degree Type

Doctoral Project

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Alice Butzlaff

Second Advisor

Catherine Carson

Third Advisor

Pamela Fichmann

Keywords

Type 2 Diabetes Mellitus, insulin, basal bolus

Abstract

Evidence of effective insulin delivery by nurses can help prevent fluctuating plasma glucose levels of Type 2 diabetes mellitus (T2DM) in the hospital setting. Information leading to better diabetes care using either basal bolus insulin administration (BBI) or sliding scale insulin (SSI) is essential for safe blood sugar values. The purpose of this project was to measure patient glycemic control after the implementation of BBI vs. SSI during a patients’ stay in the hospital. This study was a quantitative, retrospective exploratory chart review of T2DM in medical-surgical units at a Northern California community hospital. The data were collected from routine standardized point of care testing documentation on an electronic record. The study timeframe of chart reviews occurred from May 2017 to May 2018. Results suggest that SSI provided better glycemic control in hospitalized patients with T2DM. This study showed when using SSI, the average blood glucose was lower and that the estimated mean HgbA1c was lower in comparison to BBI.

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