Comparing Glycemic Outcomes of Carbohydrate Counting vs. Fixed Mealtime Insulin Dosing in Hospitalized Patients With Hyperglycemia

Comparing Glycemic Outcomes of Carbohydrate Counting vs. Fixed Mealtime Insulin Dosing in Hospitalized Patients With Hyperglycemia: an EHR-embedded Randomized Controlled Study

The study compares two current practices for calculating insulin dose for admitted patients: flexible fixed mealtime dosing based on percent of meal eaten and carbohydrate counting based on amount of carbohydrates eaten.

Inclusion criteria

• Adults ≥18 years
• Admitted to non-ICU units
• Require scheduled prandial insulin as part of basal-bolus insulin therapy with CC.

Exclusion criteria

• History of type 1 DM
• History of total pancreatectomy
• Use of pre-admission CC for prandial insulin administration
• Critical illness requiring ICU admission at time of recruitment.
• Admission to psychiatry services
• Pregnancy
• All forms of enteral/tube feeding or parenteral nutrition at recruitment
• Observation status at time of recruitment