This article, “Improvement of Glucose Control in the Intensive Care Unit: An Interdisciplinary Collaboration Study,” by Holzinger and colleagues, reports on the results of an observational study conducted in Vienna examining the impact of education and implementation of a glucose control bundle that included a nurse-managed insulin therapy algorithm for intensive insulin therapy. Patients receiving intravenous insulin therapy for a 3-month interval prior to implementation of the glucose control bundle (n=36) were compared with patients receiving continuous insulin therapy for a 3-month interval following bundle implementation (n=44).

Although there were no differences in the rate of hypoglycemic events or the number of blood glucose measurements per day between groups, the results of the study demonstrated a significant decrease in median blood glucose levels between the groups (133 vs 110 mg/dL; P<.01). In addition, after implementation of the glucose...

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