Delivery of Guideline Directed Care for Inpatient Glycemic Management: Quality Improvement Implementation
Authors' conclusion
The implementation of a VGMS team significantly reduced hyperglycemia in hospitalized individuals. This study shows that VGMS is an effective and efficient process to implement in hospital settings to improve inpatient glycemic management.
Study context
- Population
- Hospitalized individuals ≥ 18 years old with at least one inpatient POC BG value <70 mg/dL and/or > 200 mg/dL, admitted January 1, 2022, to December 31, 2023, large academic medical center in New York City
- Participants
- 1,338 vs 1,019
- Exposure
- Virtual Glucose Management Service vs control units
- Virtual Glucose Management Service (VGMS)n = 1,338
- Controln = 1,019reference
- Outcome
- Average glucose
Methodological detailssingle academic medical center, 4 intervention units vs 2 control units
- Single academic medical center
- 4 intervention units vs 2 control units
Main finding
As reported in the abstract
P = 0.1798
Observational data: associations, not effects.
Further findings
| Outcome | VGMS | Control | P value |
|---|---|---|---|
| Hyperglycemia (POC BG >180 mg/dL)Significantly higher in control | 65.5% (CI 63.5%–67.7%) | 72.2% (CI 69.5%–74.9%) | P ≤ 0.0001 |
Original publication
Delivery of Guideline Directed Care for Inpatient Glycemic Management: Quality Improvement Implementation. J Diabetes Sci Technol. Published 6 February 2026. doi:10.
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