RATTAN JUNEJA, ADAM GOLAS, NILAY KUMAR, JONI CARROLL, DEBORAH NELSON, RHONDA SMITH, SAMUEL FLANDERS, CORBIN ROUDEBUSH.

We present follow-up data of the Systematic Utilization of Glucose Assessment and Response (SUGAR) Program which was implemented in a staged manner to reduce inpatient hyperglycemia. The program monitors all Blood Glucose (BG) measurements in the hospital and triggers an intervention (if BG is >180mg/dl; >110mg/dl in the ICU) by inpatient diabetes nurses. In the ICU, target BG is achieved with IV insulin (IVI) driven by a computer program that prompts BG monitoring and IVI adjustment to target. In non-ICU settings, BG control is driven by verbal/written recommendation to the primary admitting team for tighter targets, most often with s/c insulin. In addition, the program involves on going education (morning reports/computer training modules) to help with awareness of inpatient hyperglycemia.[fFgure1][Figure2].

Figure 1

Figure 2

Conclusions: Our data shows that a systematic approach improves BG control. However, most of the benefit seems to be in ICU patients. This is perhaps the result of a simple to use computerized IVI protocol that allows not only for achievement but also adherence to targets. Whether such an IVI system or some other form of computerized reminder would be useful in non-ICU settings to help achieve BG targets needs further evaluation.