Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial
Biomedical engineering; Blood; Insulin; mHealth; Nutrition; Stars; User interfaces; Clinical trial; Critical care; Glycemic control; Hyperglycemia; Model based approach; Glucose
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Springer Verlag
2023
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my.uniten.dspace-242282023-05-29T14:57:13Z Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial Abu-Samah A. Ahamad N.H. Razak N.N. Suhaimi F.M. Jamaluddin U.K. Ralib A.M. Mat-Nor M.B. Pretty C.G. Dickson J.L. Chase G. 56719596600 56960410200 37059587300 36247893200 55330889600 37031770900 57226799207 6508290605 57202741591 35570524900 Biomedical engineering; Blood; Insulin; mHealth; Nutrition; Stars; User interfaces; Clinical trial; Critical care; Glycemic control; Hyperglycemia; Model based approach; Glucose Stress-induced hyperglycemia is prevalent in critical care, even in patients with no history of diabetes. Control of blood glucose level with tight insulin therapy has been shown to reduce incidences of hyperglycemia leading to reduced mortality and improved clinical outcomes. STAR is a tablet-based glucose control protocol with a specialized user interface into which insulin and nutrition information can be entered and predicted. This research describes the first clinical pilot trial of STAR approach in International Islamic University Hospital, Kuantan, Malaysia. The clinically specified target for blood glucose level is between 4.4 and 8.0�mmol/L. Seven episodes (of 359�h) were recruited based on the need for glucose control. Overall, 43.93% of measurement are in the range of 4.4�8.0�mmol/L band. The blood glucose median is 8.30 [6.32�10.00] mmol/L with only 1 patient having below than 2.22�mmol/L which is the guaranteed minimum risk level. This pilot study shows that STAR protocol is a patient specific approach that provides a good glycemic control in critically ill patients. Nevertheless, its implementation in Malaysian intensive care environments requires modifications and improvements in certain areas. � 2018, Springer Science+Business Media Singapore. Final 2023-05-29T06:57:12Z 2023-05-29T06:57:12Z 2018 Conference Paper 10.1007/978-981-10-7554-4_33 2-s2.0-85038120458 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85038120458&doi=10.1007%2f978-981-10-7554-4_33&partnerID=40&md5=7ce780cf9d19c59af16ee6ad69846e62 https://irepository.uniten.edu.my/handle/123456789/24228 67 189 196 All Open Access, Green Springer Verlag Scopus |
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| description |
Biomedical engineering; Blood; Insulin; mHealth; Nutrition; Stars; User interfaces; Clinical trial; Critical care; Glycemic control; Hyperglycemia; Model based approach; Glucose |
| author2 |
56719596600 |
| author_facet |
56719596600 Abu-Samah A. Ahamad N.H. Razak N.N. Suhaimi F.M. Jamaluddin U.K. Ralib A.M. Mat-Nor M.B. Pretty C.G. Dickson J.L. Chase G. |
| format |
Conference Paper |
| author |
Abu-Samah A. Ahamad N.H. Razak N.N. Suhaimi F.M. Jamaluddin U.K. Ralib A.M. Mat-Nor M.B. Pretty C.G. Dickson J.L. Chase G. |
| spellingShingle |
Abu-Samah A. Ahamad N.H. Razak N.N. Suhaimi F.M. Jamaluddin U.K. Ralib A.M. Mat-Nor M.B. Pretty C.G. Dickson J.L. Chase G. Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial |
| author_sort |
Abu-Samah A. |
| title |
Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial |
| title_short |
Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial |
| title_full |
Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial |
| title_fullStr |
Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial |
| title_full_unstemmed |
Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial |
| title_sort |
model-based insulin-nutrition administration for glycemic control in malaysian critical care: first pilot trial |
| publisher |
Springer Verlag |
| publishDate |
2023 |
| _version_ |
1806427654196297728 |
| score |
13.211869 |