Improving Timing of Capillary Blood Glucose Monitoring and Insulin Administration through Patient education

Presenter and Advisor Information

Emily Lezcano, Illinois Wesleyan University

Submission Type

Event

Faculty Advisor

Lydia Bertschi

Expected Graduation Date

2020

Location

Room E101, Center for Natural Sciences, Illinois Wesleyan University

Start Date

4-4-2020 11:15 AM

End Date

4-4-2020 11:30 AM

Disciplines

Education | Nursing

Abstract

Researchers have reported that it is challenging for the healthcare team to coordinate capillary blood glucose (CBG) monitoring and insulin administration with mealtimes. CBG testing that is done too early in relation to insulin administration can lead to inaccurate CBG results and errors in insulin dosage. Insulin that is given too early or too late in regards to meal consumption can lead to hypo- and hyperglycemia, which increases patients’ risk of complications. Some hospitals have implemented policies aimed to improve the coordination of insulin administration and mealtimes. In this study, the effectiveness of an educational card placed on meal trays on the timing of CBG testing, insulin administration, and meal tray delivery was examined. The educational card prompted the patient to contact the nurse to receive meal-time insulin before the consumption of the meal. Data on the timing of CBG testing and insulin administration were collected through retrospective chart reviews, and meal tray deliveries were directly observed. Pre- and post-intervention data will be compared and analyzed. With the implementation of the educational card, the time intervals between CBG tests, insulin administration, and meal consumptions are expected to decrease.

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Apr 4th, 11:15 AM Apr 4th, 11:30 AM

Improving Timing of Capillary Blood Glucose Monitoring and Insulin Administration through Patient education

Room E101, Center for Natural Sciences, Illinois Wesleyan University

Researchers have reported that it is challenging for the healthcare team to coordinate capillary blood glucose (CBG) monitoring and insulin administration with mealtimes. CBG testing that is done too early in relation to insulin administration can lead to inaccurate CBG results and errors in insulin dosage. Insulin that is given too early or too late in regards to meal consumption can lead to hypo- and hyperglycemia, which increases patients’ risk of complications. Some hospitals have implemented policies aimed to improve the coordination of insulin administration and mealtimes. In this study, the effectiveness of an educational card placed on meal trays on the timing of CBG testing, insulin administration, and meal tray delivery was examined. The educational card prompted the patient to contact the nurse to receive meal-time insulin before the consumption of the meal. Data on the timing of CBG testing and insulin administration were collected through retrospective chart reviews, and meal tray deliveries were directly observed. Pre- and post-intervention data will be compared and analyzed. With the implementation of the educational card, the time intervals between CBG tests, insulin administration, and meal consumptions are expected to decrease.