Quantitative Research Critique: Relationship of Glucose Value to Sliding Scale Insulin
Introduction to Nursing Research
August 04, 2013
Relationship of Glucose Values to Sliding Scale Insulin (Correctional Insulin) Dose Delivery and Meal Time in Acute Care Patients with Diabetes Mellitus
Managing blood glucose (BG) level in diabetic patients proves to be a challenging goal to insulin. The stand-alone method in many adult acute setting is the use of sliding scale insulin (SSI) to treat hyperglycemia. The goal within these settings is to maintain the BG level below 180 mg/dl (Trotter, Conaway & Burns, 2008).
The researcher …show more content…
Findings/Interpretation of Findings One limitation of the study was that it did not include BG results for the evening dosing of insulin. Those results would have helped to support the continued trend seen in higher BG readings when insulin was not given 30 minutes prior to the consumption of meals. SSI dose administered 30 minutes prior to mealtime allows the peak action of insulin to combat the rise in BG from the meal consumed. It did however, consistently showed a deviation in time-lapse in obtaining BG results obtained by PCA’s and nurses (lower values) and the decrease in SSI dose based on nurse’s BG values. The SSI dose given would (at least 1 unit lower), reflecting an inappropriate management of blood glucose levels.
This study provided an unbiased finding. Data was carefully collected and staff nurses on the selected units were