Electronic Glycemic Management System Improved Glycemic Control and Reduced Complications in Patients With Diabetes Undergoing Coronary Artery Bypass Surgery: A Randomized Controlled Trial
Authors' conclusion
The InsulinAPP protocol effectively optimizes GC and reduces adverse outcomes in T2DM patients' post-CABG surgery, offering a cost-effective solution for inpatient diabetes management.
Study context
- Population
- Adult T2D patients post-CABG surgery
- Participants
- 100 participants
- Comparison
- eGMS protocol vs conventional care
- Primary endpoint
- Composite of:
- Hospital-acquired infections
- Renal function deterioration
- Symptomatic atrial arrhythmia
Methodological detailsprospective, open-label
- Prospective
- Open-label
Primary result
As reported in the abstract
Primary composite outcome
P < 0.010
Secondary outcomes
Glucose levels
P = 0.040
Patients-day with BG above 180 mg/dL
P = 0.011
Insulin regimen with prandial bolus and correction insulin (bolus-correction or basal-bolus)
Hospital stay and costs
- gAPP protocol resulted in shorter hospital stays and reduced costs
Safety
Hypoglycemia incidence
P = 0.046
Original publication
Electronic Glycemic Management System Improved Glycemic Control and Reduced Complications in Patients With Diabetes Undergoing Coronary Artery Bypass Surgery: A Randomized Controlled Trial. J Diabetes Sci Technol. Published 3 August 2024. doi:10.
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