Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial
Stress-induced hyperglycemia is prevalent in critical care, even in patients with no history of diabetes. Control of blood glucose level with tight insulin therapy has been shown to reduce incidences of hyperglycemia leading to reduced mortality and improved clinical outcomes. STAR is a tablet-based...
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Springer Verlag
2018
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| Online Access: | http://irep.iium.edu.my/64969/1/64969_Model-Based%20Insulin-Nutrition%20Administration_conference%20article.pdf http://irep.iium.edu.my/64969/7/64969_Model-Based%20Insulin-Nutrition%20Administration_scopus.pdf http://irep.iium.edu.my/64969/ https://www.springer.com/gp/book/9789811075537 |
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my.iium.irep.64969 http://irep.iium.edu.my/64969/ Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial Abu-Samah, Asma Ahamad, Nurhamim H. Abdul Razak, Normy Norfiza Suhaimi, Fatanah M. Jamaludin, Ummu Kulthum Md Ralib, Azrina Mat Nor, Mohd Basri Pretty, Christopher G. Dickson, Jennifer L. Chase, Geoffrey G. RM214 Diet therapy. Diet and dietectics in disease Stress-induced hyperglycemia is prevalent in critical care, even in patients with no history of diabetes. Control of blood glucose level with tight insulin therapy has been shown to reduce incidences of hyperglycemia leading to reduced mortality and improved clinical outcomes. STAR is a tablet-based glucose control protocol with a specialized user interface into which insulin and nutrition information can be entered and predicted. This research describes the first clinical pilot trial of STAR approach in International Islamic University Hospital, Kuantan, Malaysia. The clinically specified target for blood glucose level is between 4.4 and 8.0 mmol/L. Seven episodes (of 359 h) were recruited based on the need for glucose control. Overall, 43.93% of measurement are in the range of 4.4–8.0 mmol/L band. The blood glucose median is 8.30 [6.32–10.00] mmol/L with only 1 patient having below than 2.22 mmol/L which is the guaranteed minimum risk level. This pilot study shows that STAR protocol is a patient specific approach that provides a good glycemic control in critically ill patients. Nevertheless, its implementation in Malaysian intensive care environments requires modifications and improvements in certain areas. Springer Verlag 2018 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/64969/1/64969_Model-Based%20Insulin-Nutrition%20Administration_conference%20article.pdf application/pdf en http://irep.iium.edu.my/64969/7/64969_Model-Based%20Insulin-Nutrition%20Administration_scopus.pdf Abu-Samah, Asma and Ahamad, Nurhamim H. and Abdul Razak, Normy Norfiza and Suhaimi, Fatanah M. and Jamaludin, Ummu Kulthum and Md Ralib, Azrina and Mat Nor, Mohd Basri and Pretty, Christopher G. and Dickson, Jennifer L. and Chase, Geoffrey G. (2018) Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial. In: 2nd International Conference for Innovation in Biomedical Engineering and Life Sciences, ICIBEL 2017, 10-13 December 2017, Penang; Malaysia. (In Press) https://www.springer.com/gp/book/9789811075537 10.1007/978-981-10-7554-4_33 |
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| topic |
RM214 Diet therapy. Diet and dietectics in disease |
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RM214 Diet therapy. Diet and dietectics in disease Abu-Samah, Asma Ahamad, Nurhamim H. Abdul Razak, Normy Norfiza Suhaimi, Fatanah M. Jamaludin, Ummu Kulthum Md Ralib, Azrina Mat Nor, Mohd Basri Pretty, Christopher G. Dickson, Jennifer L. Chase, Geoffrey G. Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial |
| description |
Stress-induced hyperglycemia is prevalent in critical care, even in patients with no history of diabetes. Control of blood glucose level with tight insulin therapy has been shown to reduce incidences of hyperglycemia leading to reduced mortality and improved clinical outcomes. STAR is a tablet-based glucose control protocol with a specialized user interface into which insulin and nutrition information can be entered and predicted. This research describes the first clinical pilot trial of STAR approach in International Islamic University Hospital, Kuantan, Malaysia. The clinically specified target for blood glucose level is between 4.4 and 8.0 mmol/L. Seven episodes (of 359 h) were recruited based on the need for glucose control. Overall, 43.93% of measurement are in the range of 4.4–8.0 mmol/L band. The blood glucose median is 8.30 [6.32–10.00] mmol/L with only 1 patient having below than 2.22 mmol/L which is the guaranteed minimum risk level. This pilot study shows that STAR protocol is a patient specific approach that provides a good glycemic control in critically ill patients. Nevertheless, its implementation in Malaysian intensive care environments requires modifications and improvements in certain areas. |
| format |
Conference or Workshop Item |
| author |
Abu-Samah, Asma Ahamad, Nurhamim H. Abdul Razak, Normy Norfiza Suhaimi, Fatanah M. Jamaludin, Ummu Kulthum Md Ralib, Azrina Mat Nor, Mohd Basri Pretty, Christopher G. Dickson, Jennifer L. Chase, Geoffrey G. |
| author_facet |
Abu-Samah, Asma Ahamad, Nurhamim H. Abdul Razak, Normy Norfiza Suhaimi, Fatanah M. Jamaludin, Ummu Kulthum Md Ralib, Azrina Mat Nor, Mohd Basri Pretty, Christopher G. Dickson, Jennifer L. Chase, Geoffrey G. |
| author_sort |
Abu-Samah, Asma |
| title |
Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial |
| title_short |
Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial |
| title_full |
Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial |
| title_fullStr |
Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial |
| title_full_unstemmed |
Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial |
| title_sort |
model-based insulin-nutrition administration for glycemic control in malaysian critical care: first pilot trial |
| publisher |
Springer Verlag |
| publishDate |
2018 |
| url |
http://irep.iium.edu.my/64969/1/64969_Model-Based%20Insulin-Nutrition%20Administration_conference%20article.pdf http://irep.iium.edu.my/64969/7/64969_Model-Based%20Insulin-Nutrition%20Administration_scopus.pdf http://irep.iium.edu.my/64969/ https://www.springer.com/gp/book/9789811075537 |
| _version_ |
1643617289639034880 |
| score |
13.211869 |