Table 3.
Computerized glycemic management systems
| Authors | Glucose Management System | Design | Glycemic Outcome (mg/dL)a | Results |
|---|---|---|---|---|
| Commercially available computerized glycemic management systems | ||||
| Juneja et al,40 2009 | Glucostabilizer (ICU) | Retrospective, descriptive | %Time in target range (80–110) %BG <70 %BG <40 |
73.4% 0.31% 0.1% |
| Newton et al,41 2010 | Glucommander (ICU) | Multicenter, randomized controlled trial, paper-based vs computerized | Mean BG %BG in target Range (80–120) Patients with BG <60 |
117 vs 103c 51% vs 71%c 31.9 vs 42.9 |
| Tanenberg et al,42 2017 | EndoTool (ICU) | Retrospective, descriptive | %BG <70 %BG <40 CV% |
0.93% 0.03% 26.5% |
| John et al,43 2018 | EndoTool (ICU) | Retrospective, comparative analysis of paper-based vs computerized | Time in targetb %BG <70 Hours on IV insulin infusion |
47.3% vs 45.2% 0.36 vs 0.007 2.39 vs 20.9 |
| Ullal et al,44 2018 | Glucommander (DKA) | Retrospective, comparative analysis of paper-based vs computerized | %Patients with BG <60 %Patients with BG <40 |
11%−14% vs 33%−39% 0.2%−0.4% vs 6%−7.5% |
| Institution-specific computerized glycemic management systems | ||||
| Hermayer et al,37 2007 | Medical University of South Carolina | Retrospective, comparative analysis of paper-based vs computerized | Mean BG %BG in target range (80–120) %BG <70 |
163 vs 154c 82% vs 54%c 1.42 vs 1.14 |
| Dortch et al,45 2008 | Vanderbilt University Hospital, TN | Retrospective, comparative analysis of paper-based vs computerized | %BG 80–110 %BG >150 %BG ≤40 |
41.8% vs 34%c 12.8% vs 15.1%c 0.2% vs 0.5%c |
| Pachler et al,46 2008 | Medical University Graz, Austria | Randomized controlled trial, paper-based vs computerized | Mean BG Hyperglycemic index |
106 vs 133c 0.4 vs 1.6c |
| Lee et al,47 2012 | University of California San Diego – Burn Unit | Retrospective, descriptive | %BG in target range (90–150) %BG <50 |
75.8% 0.07% |
| Saur et al,38 2013 | Tufts Medical Center, MA | Retrospective, comparative analysis of paper-based vs computerized | Mean BG %Time in target range (95–135) %Time BG <70 |
117 vs 135c 68% vs 52%c 0.51% vs 1.44%c |