Comparison of Inpatient Sliding Scale Insulin Regimens (Aspart vs. Regular)
Project Description: A new sliding scale insulin (SSI) order set was put into effect at the North Florida Veterans Hospital in 2016. The new SII order uses Aspart (short-acting insulin). The original SII order set uses Regular insulin (short to medium acting). Currently, both order sets are available for use, with the original (Regular) insulin order set being listed above the newer (Aspart) insulin order set. I hypothesize that the use of insulin Apart SSI order set (vs. Regular SII order set) will result in fewer inpatient hypoglycemic episodes (blood glucose <70mg/DL). If my hypothesis is correct, the Regular SSI order set could be discontinued or made less preferential in the electronic medical system. I will collect retrospective data from when the new SSI order set was first available in the electronic medical system to present. Primary outcome measure will be hypoglycemic episodes measured as any blood glucose of <70 mg/DL. Other measures: age, race, sex, type of diabetes, simultaneous use of other hypoglycemic agents while on SSI, NPO status, and liver cirrhosis. Population: Any patient admitted to the North Florida VA after the initiation of the Aspart SSI order in 2016 set who was placed on any SSI regimen.
QPI: Amy, Sheer, (firstname.lastname@example.org)
Collaborators: (email@example.com); Layla, Abushamat, (Layla.Abushamat@medicine.ufl.edu)
Advisors: Sushma, Kadiyala, (firstname.lastname@example.org)
UF Health Big Aims: Zero Harm None
MeSH Keywords: Diabetes Mellitus, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Hypoglycemia, Insulin, Drug-Related Side Effects and Adverse Reactions