Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
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Meta Analysis
Insulin infusion protocols for critically ill patients: a highlight of differences and similarities.
To discuss the major differences and similarities among the currently published insulin infusion protocols (IIPs) for critically ill patients. ⋯ Clinicians should evaluate the type of patients in their critical care units, the mean baseline glucose levels, and the available resources to determine the most appropriate and practical IIP for their institution.
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To develop insight into resident physician attitudes about inpatient hyperglycemia and determine perceived barriers to optimal management. ⋯ Most residents acknowledged the importance of good glucose control in hospitalized patients and chose target glucose ranges consistent with existing guidelines. Lack of knowledge about insulin treatment options was the most commonly cited barrier to ideal management. Educational programs should emphasize inpatient treatment strategies for glycemic control.
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Randomized Controlled Trial Comparative Study
Effect of thyroid hormone replacement on methionine-stimulated homocysteine levels in patients with subclinical hypothyroidism: a randomized, double-blind, placebo-controlled study.
To determine whether treatment of subclinical hypothyroidism with levothyroxine would improve homocysteine metabolism. ⋯ In this study, levothyroxine treatment of patients with subclinical hypothyroidism did not alter homocysteine levels in the fasting or post-methionine states.
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Comparative Study Clinical Trial
Inpatient management of hyperglycemia: the Northwestern experience.
To describe a novel method of safe and effective intensive management of inpatient hyperglycemia with use of cost-effective protocols directed by a glucose management service (GMS). ⋯ Validated protocols dedicated to the achievement of strict glycemic goals were implemented by a GMS and resulted in substantial improvements in glycemic control on the surgical inpatient services, with a reduced frequency of hypoglycemia. The protocols and the GMS have been well received by the inpatient nursing and surgical staff members, and all of this has been done in a cost-effective manner.