Inpatient Virtual Glucose Management Service Decreases Hyperglycemia, Hypoglycemia

HealthDay News – Implementation of a virtual glucose management service (vGMS) is associated with improved inpatient glycemic control, with decreases in hypoglycemia and hyperglycemia, according to a study published in the Annals of Internal Medicine.

Robert J. Rushakoff, MD, from the University of California in San Francisco, and colleagues conducted cross-sectional analyses of three 12-month periods (pre-vGMS, transition, and vGMS) to determine the correlation with glycemic control at three hospitals. 

Data were included for hospitalized adults with two or more glucose values of 12.5 mmol/L or greater (hyperglycemic) and/or a glucose level below 3.9 mmol/L (hypoglycemic) in the previous 24 hours.

The researchers observed a 39% decrease in the proportion of hyperglycemic patients, from 6.6 to 4.0 per 100 patient-days in the pre-vGMS to the vGMS period (difference, −2.5). 

The hypoglycemic proportion was 36% lower in the vGMS period versus the pre-vGMS period (difference, −0.28). In the pre-vGMS and vGMS periods there were 40 and 15 severe hypoglycemic events, respectively.

“Implementation of the vGMS was associated with decreases in hyperglycemia and hypoglycemia,” the authors write.

One author disclosed financial ties to Google.

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Rushakoff RJ, Sullivan MM, Macmaster HW, et al. Association between a virtual glucose management service and glycemic control in hospitalized adult patients: An observational study [published online March 28, 2017] Annals of Internal Medicine. doi: 10.7326/M16-1413