PPT-Early Initiation of Insulin:

Basal Bolus versus Premixed ADA Diabetes Management Algorithm 2015 Need for Early and aggressive treatment Legacy effect early vs late glycemic control and complications risk Aggressive glycemic control. Pan . wong. PGY1 Pharmacy practice resident. UWMC Ed rotation. April 2014 . 1. Outline. Background. Basic Pharmacology Review. Clinical Presentation . Mechanism of Toxicity . Pharmacological management . in the Inpatient Setting: . The Pharmacist’s Role. 1. Pharmacist’s Role in the Safe Use of Insulin in the Inpatient Setting. Minimizing medication errors. Discouraging the use of sliding scale insulin. Pens. Prepared by: Alison . Deux. , 4. th. year pharmacy student. Background on Diabetes. More than 9 MILLION Canadians are living with diabetes or pre-diabetes. 20 more people are diagnosed every hour. August 2013. Case for Change. Insulin is a high risk medication. Reported in top 10 high alert medicines worldwide. Nearly 3000 incidents in IIMS. Variation in insulin charts, charting; prescription, administration and documentation. the Treatment of T1DM and T2DM. Lawrence Blonde, MD, FACP, FACE. Director of the . Ochsner. Diabetes Clinical Research Unit. Ochsner. Medical Center. New Orleans, Louisiana. Vivian . A. Fonseca, MD, FRCP. ST. TIME. IN A GOVERNMENT HOSPITAL . “ JJ HOSPITAL, MUMBAI ” . Dr . . Hemant. Gupta . [Associate . Prof. & Unit Head, Dept of Medicine, . J.J.Hospital. , . Mumbai] . Dr . . Ayaz. Ahmed [lecturer]. Pharmacoepidemiology and Drug Safety. 2008;(17):753-759.. So benefit of both SU/Insulin in. research studies –UKPDS, DCCT/EDIC. But adverse risk in ‘real world’ use. Link between hypoglycemia and acute cardiovascular events in type 2 diabetes. localized deformation in the mantle. Phil Skemer. Washington University in St. Louis. Structural Geology and Tectonics Forum. June 16, 2014. With contributions from: . Rolf . Bruijn. , . Jolien. Linckens, Jessica Warren, Lars Hansen, . Northwest Alaska, . USA. Balser. et al. Brianna Young. Introduction. Retrogressive thaw slumping: . Thaw of ice-rich permafrost on bluffs/. hillslopes. Soil instability. Mass wasting subsidence. Degradation of arctic permafrost. Adults. (= RCIA). Fundamental Aspects . and Frequently . Asked Questions. What . is RCIA? . ". The rite of Christian initiation...is designed for adults who, after hearing the mystery of Christ proclaimed, consciously and freely seek the living God and enter the way of faith and conversion as the Holy Spirit opens their hearts. By God's help they will be strengthened spiritually during their preparation, and at the proper time will receive the sacraments fruitfully." (RCIA 1). A Amouzegar, MD. Endocrine Research Center, Research Institute For Endocrine Sciences, Shahid Beheshti University, Tehran . Agenda. Rationale for Early Insulin Therapy. Which insulin is appropriate for being initiated?. Markus Menzen. 1. ; Niels Væver Hartvig. 2. ; Anne Kaas. 2. ; Nikoline Nygård Knudsen. 2. ; Johan Jendle. 3. 1. Division of Internal Medicine, Department of Gastroenterology and Diabetology, Community Hospital Bonn, Bonn, Germany. Purpose of initiation phase. Comparing project options. Total cost of ownership. The project charter. The Initiation Phase. Business problem or opportunity defined. Solution is defined. Project is formed. Research Institute For Endocrine Sciences. Endocrine Research Center. Shahid Beheshti University. 04.04.1397. Outlines. Case presentation. Barriers of insulin therapy. Action-profile. Types of basal .