Submission Type
Patient Safety and Quality Improvement Exemplars
Abstract
INTRODUCTION
Studies have supported protocolized insulin titration to optimize insulin therapy. We implemented a long acting insulin titration (LAIT) protocol in a primary care setting to aid patients achieve optimal control of their diabetes. The purpose of the study was to evaluate the performance of the LAIT protocol.
METHODS
This retrospective analysis included patients ≥18 years with type 2 diabetes (T2D) and a hemoglobin A1c (A1C) >8% who were managed as outpatients at clinics within our health care system. We collected demographic and clinical data before and after a patient’s enrollment in the LAIT protocol. Our primary outcome measure was the change in A1C value between pre-protocol enrollment and post-protocol measurement.
RESULTS
Nurse care managers managed 180 (87.8%) patients while 25 (12.2%) were managed by pharmacists. Patients enrolled in the LAIT protocol experienced a significant decrease in A1C (from 9.97 ± 1.85% pre-referral to 8.60 ± 1.67% post-referral, p
DISCUSSION
The LAIT protocol was successful in improving glycemic control among patients with T2D. Future enhancements to the protocol could focus on analyzing referral utilization and patient engagement.
CONCLUSION
The LAIT protocol allows pharmacists and nurse care managers to make a significant contribution toward achieving glycemic goals in those with uncontrolled diabetes.
Recommended Citation
Manzi, Ruth; Martineau, Corinn; LaPorta, Carmine; Muca, Mary; Marrier, Samantha; Medd, Donald; and Aronson, Jennifer
(2020)
"Evaluation of Pharmacist- or Nurse-driven Long-acting Insulin Titration Protocol in Adult Primary Care Patients with Type 2 Diabetes,"
Journal of Maine Medical Center: Vol. 2
:
Iss.
2
, Article 5.
Available at:
https://doi.org/10.46804/2641-2225.1040
Included in
Family Practice Nursing Commons, Pharmacy and Pharmaceutical Sciences Commons, Primary Care Commons
