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首页> 外文学位 >Uncontrolled Hemoglobin A1c in Older Adults: A Pilot Study Establishing an Evidence-Based Practice Protocol in a Long Term Care Facility
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Uncontrolled Hemoglobin A1c in Older Adults: A Pilot Study Establishing an Evidence-Based Practice Protocol in a Long Term Care Facility

机译：老年人中不受控制的血红蛋白A1c：一项在长期护理机构中建立循证实践方案的先导研究

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摘要

Many elderly living with diabetes struggle to maintain their HgbA1C at the individualized levels that current guidelines recommend (ADA, 2012). Even adults living in long-term care facilities, where professional healthcare providers manage medication and where balanced meals are provided, struggle to maintain their HgbA1c levels. Pharmaceutical companies have developed newer products, such as basal insulin, to lower glucose levels and, therefore, HgbA1c. This project compared the efficacy of adding basal insulin, including Toujeo (Sanofi), which is a newly-available, long acting human insulin analog, to treatment with oral hypoglycemic agents in patients with Type II diabetes. This evidence-based project was a retrospective chart review of an initiative being implemented in a New Jersey LTC facility as a pilot study of a basal insulin algorithm to decrease adjusted hemoglobin A1c to <8.5%. The retrospective chart review was completed to determine if there would be significant improvement in glucose control for this population with the addition of basal insulin compared to glucose control in another New Jersey LTC facility using predominantly oral medication. Based on these findings, indication for widespread implementation to the remaining five sister facilities of Arista Care was determined.
机译：许多患有糖尿病的老年人努力将HgbA1C维持在当前指南推荐的个体水平（ADA，2012年）。即使是住在长期护理机构中的成年人，在这些场所中，专业的医疗保健提供者也可以管理药物并提供均衡的膳食，他们也难以维持其HgbA1c水平。制药公司已经开发了新产品，例如基础胰岛素，以降低葡萄糖水平，从而降低HgbA1c。该项目比较了在II型糖尿病患者中添加基础胰岛素（包括Toujeo（Sanofi），这是一种新近使用的长效人胰岛素类似物）与口服降糖药治疗的疗效。这项基于证据的项目是对新泽西州LTC设施中正在实施的一项计划的回顾性图表审查，该计划是一项基础胰岛素算法的初步研究，该算法可将调整后的血红蛋白A1c降至<8.5％。回顾性图表检查已完成，以确定与使用另一种主要使用口服药物的新泽西州LTC设施中的葡萄糖控制相比，添加基础胰岛素对该人群的血糖控制是否有显着改善。根据这些调查结果，确定了将Arista Care的其余五个姐妹设施广泛实施的迹象。

著录项

  • 作者

    Potash, Diane.;

  • 作者单位

    Saint Peter's University.;

  • 授予单位 Saint Peter's University.;
  • 学科 Nursing.;Medicine.;Pharmacology.
  • 学位 D.N.P.
  • 年度 2017
  • 页码 55 p.
  • 总页数 55
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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