Continuous intravenous insulin: Ready for prime time

Abstract

Hyperglycemia in the inpatient setting has been linked to poor outcomes. There is evidence that careful management of hyperglycemia in the acute care setting can decrease lengths of stay, morbidity, and mortality. In unstable, critically ill patients, blood glucose excursions are most effectively controlled through the use of continuous intravenous insulin infusion protocols. However, barriers remain to the acceptance and successful implementation of protocol-driven initiatives to achieve normoglycemia. A multidisciplinary team approach can help overcome staff misconceptions and fears regarding tight glycemic management in hospitalized patients.