Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial

Stress-induced hyperglycemia is prevalent in critical care, even in patients with no history of diabetes. Control of blood glucose level with tight insulin therapy has been shown to reduce incidences of hyperglycemia leading to reduced mortality and improved clinical outcomes. STAR is a tablet-based...

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Main Authors:	Abu-Samah, Asma, Ahamad, Nurhamim H., Abdul Razak, Normy Norfiza, Suhaimi, Fatanah M., Jamaludin, Ummu Kulthum, Md Ralib, Azrina, Mat Nor, Mohd Basri, Pretty, Christopher G., Dickson, Jennifer L., Chase, Geoffrey G.
Format:	Conference or Workshop Item
Language:	English English
Published:	Springer Verlag 2018
Subjects:	RM214 Diet therapy. Diet and dietectics in disease
Online Access:	http://irep.iium.edu.my/64969/ http://irep.iium.edu.my/64969/ http://irep.iium.edu.my/64969/ http://irep.iium.edu.my/64969/1/64969_Model-Based%20Insulin-Nutrition%20Administration_conference%20article.pdf http://irep.iium.edu.my/64969/7/64969_Model-Based%20Insulin-Nutrition%20Administration_scopus.pdf

id	iium-64969
recordtype	eprints
spelling	iium-649692018-07-20T08:42:41Z http://irep.iium.edu.my/64969/ Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial Abu-Samah, Asma Ahamad, Nurhamim H. Abdul Razak, Normy Norfiza Suhaimi, Fatanah M. Jamaludin, Ummu Kulthum Md Ralib, Azrina Mat Nor, Mohd Basri Pretty, Christopher G. Dickson, Jennifer L. Chase, Geoffrey G. RM214 Diet therapy. Diet and dietectics in disease Stress-induced hyperglycemia is prevalent in critical care, even in patients with no history of diabetes. Control of blood glucose level with tight insulin therapy has been shown to reduce incidences of hyperglycemia leading to reduced mortality and improved clinical outcomes. STAR is a tablet-based glucose control protocol with a specialized user interface into which insulin and nutrition information can be entered and predicted. This research describes the first clinical pilot trial of STAR approach in International Islamic University Hospital, Kuantan, Malaysia. The clinically specified target for blood glucose level is between 4.4 and 8.0 mmol/L. Seven episodes (of 359 h) were recruited based on the need for glucose control. Overall, 43.93% of measurement are in the range of 4.4–8.0 mmol/L band. The blood glucose median is 8.30 [6.32–10.00] mmol/L with only 1 patient having below than 2.22 mmol/L which is the guaranteed minimum risk level. This pilot study shows that STAR protocol is a patient specific approach that provides a good glycemic control in critically ill patients. Nevertheless, its implementation in Malaysian intensive care environments requires modifications and improvements in certain areas. Springer Verlag 2018 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/64969/1/64969_Model-Based%20Insulin-Nutrition%20Administration_conference%20article.pdf application/pdf en http://irep.iium.edu.my/64969/7/64969_Model-Based%20Insulin-Nutrition%20Administration_scopus.pdf Abu-Samah, Asma and Ahamad, Nurhamim H. and Abdul Razak, Normy Norfiza and Suhaimi, Fatanah M. and Jamaludin, Ummu Kulthum and Md Ralib, Azrina and Mat Nor, Mohd Basri and Pretty, Christopher G. and Dickson, Jennifer L. and Chase, Geoffrey G. (2018) Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial. In: 2nd International Conference for Innovation in Biomedical Engineering and Life Sciences, ICIBEL 2017, 10-13 December 2017, Penang; Malaysia. (In Press) https://www.springer.com/gp/book/9789811075537 10.1007/978-981-10-7554-4_33
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	RM214 Diet therapy. Diet and dietectics in disease
spellingShingle	RM214 Diet therapy. Diet and dietectics in disease Abu-Samah, Asma Ahamad, Nurhamim H. Abdul Razak, Normy Norfiza Suhaimi, Fatanah M. Jamaludin, Ummu Kulthum Md Ralib, Azrina Mat Nor, Mohd Basri Pretty, Christopher G. Dickson, Jennifer L. Chase, Geoffrey G. Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial
description	Stress-induced hyperglycemia is prevalent in critical care, even in patients with no history of diabetes. Control of blood glucose level with tight insulin therapy has been shown to reduce incidences of hyperglycemia leading to reduced mortality and improved clinical outcomes. STAR is a tablet-based glucose control protocol with a specialized user interface into which insulin and nutrition information can be entered and predicted. This research describes the first clinical pilot trial of STAR approach in International Islamic University Hospital, Kuantan, Malaysia. The clinically specified target for blood glucose level is between 4.4 and 8.0 mmol/L. Seven episodes (of 359 h) were recruited based on the need for glucose control. Overall, 43.93% of measurement are in the range of 4.4–8.0 mmol/L band. The blood glucose median is 8.30 [6.32–10.00] mmol/L with only 1 patient having below than 2.22 mmol/L which is the guaranteed minimum risk level. This pilot study shows that STAR protocol is a patient specific approach that provides a good glycemic control in critically ill patients. Nevertheless, its implementation in Malaysian intensive care environments requires modifications and improvements in certain areas.
format	Conference or Workshop Item
author	Abu-Samah, Asma Ahamad, Nurhamim H. Abdul Razak, Normy Norfiza Suhaimi, Fatanah M. Jamaludin, Ummu Kulthum Md Ralib, Azrina Mat Nor, Mohd Basri Pretty, Christopher G. Dickson, Jennifer L. Chase, Geoffrey G.
author_facet	Abu-Samah, Asma Ahamad, Nurhamim H. Abdul Razak, Normy Norfiza Suhaimi, Fatanah M. Jamaludin, Ummu Kulthum Md Ralib, Azrina Mat Nor, Mohd Basri Pretty, Christopher G. Dickson, Jennifer L. Chase, Geoffrey G.
author_sort	Abu-Samah, Asma
title	Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial
title_short	Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial
title_full	Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial
title_fullStr	Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial
title_full_unstemmed	Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial
title_sort	model-based insulin-nutrition administration for glycemic control in malaysian critical care: first pilot trial
publisher	Springer Verlag
publishDate	2018
url	http://irep.iium.edu.my/64969/ http://irep.iium.edu.my/64969/ http://irep.iium.edu.my/64969/ http://irep.iium.edu.my/64969/1/64969_Model-Based%20Insulin-Nutrition%20Administration_conference%20article.pdf http://irep.iium.edu.my/64969/7/64969_Model-Based%20Insulin-Nutrition%20Administration_scopus.pdf
first_indexed	2023-09-18T21:32:11Z
last_indexed	2023-09-18T21:32:11Z
_version_	1777412584773779456

Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial

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