Management of the Hospitalized Patient with Diabetes, An Issue of Critical Care Nursing Clinics of North America
- 1st Edition, Volume 37-1 - February 3, 2025
- Imprint: Elsevier
- Editor: Celia Levesque
- Language: English
- Hardback ISBN:9 7 8 - 0 - 4 4 3 - 2 9 6 0 4 - 8
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 2 9 6 0 5 - 5
In this issue of Critical Care Nursing Clinics, guest editor Celia Levesque of MD Anderson Cancer Center brings her considerable expertise to the topic of Management of the Hospi… Read more
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Request a sales quoteIn this issue of Critical Care Nursing Clinics, guest editor Celia Levesque of MD Anderson Cancer Center brings her considerable expertise to the topic of Management of the Hospitalized Patient with Diabetes. Top experts provide up-to-date clinical information and best practices for hospitalized patients with diabetes, covering issues such as non-insulin diabetes medications in the pediatric patient; using diabetes technology in hospitalized patients; managing diabetes in patients with heart disease; managing insulin drips; training hospital nurses to be diabetes champions; and more.
- Contains 14 relevant, practice-oriented topics including hypoglycemia in hospitalized patients with diabetes; current recommendations for insulin therapy in the hospitalized patient; perioperative management of the patient with diabetes; diabetes education for the hospitalized patient; and more.
- Provides in-depth clinical reviews on management of the hospitalized patient with diabetes, offering actionable insights for clinical practice.
- Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Critical Care Nursing
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Forthcoming Issues
- Preface
- Management of the Hospitalized Patient with Hyperglycemia
- Key points
- Introduction
- Identification and assessment of diabetes and hyperglycemia
- Identification of hyperglycemia
- Glycemic goals
- Glucose monitoring
- Frequency of monitoring
- Continuous glucose monitoring
- Treatment of diabetes and hyperglycemia
- Special circumstances
- Parenteral/Enteral nutrition
- Hypoglycemia
- Clinics care points
- Training Hospital Nurses to be Diabetes Champions
- Key points
- Introduction
- Discussion
- Summary
- Clinics care points
- Noninsulin Diabetes Medications in Hospitalized Children and Adolescents
- Key points
- Introduction
- Glycemic considerations
- Medical considerations in hospitalized children and adolescents
- Noninsulin medications
- Summary
- Clinics care points
- Using Diabetes Technology in Hospitalized Patients
- Key points
- Introduction
- History of diabetes treatment technology
- Insulin pump and continuous glucose monitor system function
- Benefits of intensive insulin management
- Troubleshooting/hyperglycemia protocol/when to disconnect pump
- Summary
- Clinics care points
- Managing Heart Disease in Persons with Diabetes
- Key points
- Introduction
- Summary
- Clinics care points
- Diabetes Management in the Critical Care Setting: Insulin Infusions
- Key points
- Background
- Definitions and glucose targets
- Insulin infusions: uses, indications, monitoring
- Current guidelines
- Risks of insulin infusions: hypoglycemia
- Risks of insulin infusions: hypokalemia
- Risks of insulin infusions: cerebral edema
- Transitioning to subcutaneous insulin injections
- Nursing considerations and take-home points
- Current Medical Nutrition Therapy Recommendations for the Person with Diabetes
- Key points
- Introduction
- Dietary methods for meal planning
- Patients with diabetes using prandial insulin
- Nutrition therapy in hospitalized patients with diabetes
- Nutritional screening tools
- Body mass index
- Nothing by mouth status, clear liquid diet, and nutritional supplements
- Enteral nutrition in person with diabetes
- Total parenteral nutrition
- Summary
- Clinics care points
- Management of Hypertension in Patients with Diabetes
- Key points
- Background: why blood pressure control is important
- Guidelines available for hypertension management
- Screening and diagnosis of hypertension
- Blood pressure targets for people with diabetes
- Treatment of hypertension
- Blood pressure management in acute care
- Summary
- Clinics care points
- Management of Immunotherapy-Induced Type 1 Diabetes
- Key points
- Introduction
- Immune checkpoint inhibitors defined
- Classes of immune checkpoint inhibitor drugs and immune checkpoint inhibitor-induced type 1 diabetes
- Patient presentation
- Acute treatment of immune checkpoint inhibitor-induced type 1 diabetes
- Transitioning from insulin drip
- Long-term treatment of immune checkpoint inhibitor-induced type 1 diabetes
- Insulin therapy
- Treatment of hypoglycemia
- Summary
- Clinics care points
- Hypoglycemia in Hospitalized Patients with Diabetes
- Key points
- Introduction
- Prevalence/incidence
- Nature of the problem
- Pathogenesis
- Type 1 diabetes mellitus
- Type 2 diabetes mellitus
- Gestational diabetes
- Secondary types of diabetes mellitus
- Inpatient hypoglycemia
- Treatment
- Patient monitoring and side effects
- Challenges with hypoglycemia in the intensive care unit
- Goals of care (recovery after the event and what to do to eliminate an event beforehand)
- Summary
- Clinics care points
- Current Recommendations for Insulin Therapy in the Hospitalized Patient
- Key points
- Background
- Glycemic goals
- Insulin overview
- Insulin products and pharmacokinetics
- Insulin administration
- Initiating insulin dosages in non-critically ill-hospitalized patients
- Type 2 diabetes
- Type 1 diabetes
- Non-insulin treatments
- Special clinical considerations
- Insulin self-management: insulin pumps and continuous glucose monitoring
- Transitions of care & system-based interventions
- Summary
- Clinics care points
- Perioperative Management of the Patient with Diabetes Mellitus
- Key points
- Introduction
- Discussion
- History
- Testing before surgery
- Glycemic goals for surgery
- Frequency of glucose testing
- Timing of surgery
- Diabetes medication regimen
- Adjustment of non-insulin diabetes medications for surgery
- Insulin pump during the perioperative period
- Intravenous insulin infusion during surgery
- Hypoglycemia while at surgical facility: preoperatively, intraoperatively, and postoperatively
- Postoperative glycemic management
- Summary
- Clinics care points
- Diabetes Education for the Hospitalized Patient
- Key points
- Introduction
- Who
- What
- When
- Where
- Why
- Summary
- Clinics care points
- Euglycemic Diabetic Ketoacidosis: How Is It Different from Diabetic Ketoacidosis
- Key points
- Introduction, definitions, and background
- Pathophysiology
- Precipitating factors
- Clinical manifestations and physical examination
- Diagnosis
- Treatment
- Patient education
- Summary
- Clinics care points
- Edition: 1
- Volume: 37-1
- Published: February 3, 2025
- Imprint: Elsevier
- No. of pages: 240
- Language: English
- Hardback ISBN: 9780443296048
- eBook ISBN: 9780443296055
CL
Celia Levesque
Affiliations and expertise
The University of Texas MD Anderson Cancer Center, Houston, TX, USA