Model-based insulin-nutrition administration for glycemic control in Malaysian critical care

First pilot trial

A. Abu-Samah, N. H. Ahamad, Normy Norfiza Abdul Razak, F. M. Suhaimi, U. K. Jamaluddin, A. M. Ralib, M. B. Mat-Nor, C. G. Pretty, J. L. Dickson, G. Chase

Research output: Chapter in Book/Report/Conference proceedingConference contribution

3 Citations (Scopus)

Abstract

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.

Original languageEnglish
Title of host publication2nd International Conference for Innovation in Biomedical Engineering and Life Sciences - ICIBEL 2017 in conjunction with APCMBE 2017
EditorsJuliana Usman, Fatimah Ibrahim, Mohd Yazed Ahmad, Swe Jyan Teh, Norhamizan Hamzah
PublisherSpringer Verlag
Pages189-196
Number of pages8
ISBN (Print)9789811075537
DOIs
Publication statusPublished - 01 Jan 2018
Event2nd International Conference for Innovation in Biomedical Engineering and Life Sciences, ICIBEL 2017, held in conjunction with the 10th Asia Pacific Conference on Medical and Biological Engineering, APCMBE 2017 - Penang, Malaysia
Duration: 10 Dec 201713 Dec 2017

Publication series

NameIFMBE Proceedings
Volume67
ISSN (Print)1680-0737

Other

Other2nd International Conference for Innovation in Biomedical Engineering and Life Sciences, ICIBEL 2017, held in conjunction with the 10th Asia Pacific Conference on Medical and Biological Engineering, APCMBE 2017
CountryMalaysia
CityPenang
Period10/12/1713/12/17

Fingerprint

Insulin
Nutrition
Glucose
Blood Glucose
Blood
Network protocols
Medical problems
Tablets
User interfaces

All Science Journal Classification (ASJC) codes

  • Bioengineering
  • Biomedical Engineering

Cite this

Abu-Samah, A., Ahamad, N. H., Abdul Razak, N. N., Suhaimi, F. M., Jamaluddin, U. K., Ralib, A. M., ... Chase, G. (2018). Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial. In J. Usman, F. Ibrahim, M. Y. Ahmad, S. J. Teh, & N. Hamzah (Eds.), 2nd International Conference for Innovation in Biomedical Engineering and Life Sciences - ICIBEL 2017 in conjunction with APCMBE 2017 (pp. 189-196). (IFMBE Proceedings; Vol. 67). Springer Verlag. https://doi.org/10.1007/978-981-10-7554-4_33
Abu-Samah, A. ; Ahamad, N. H. ; Abdul Razak, Normy Norfiza ; 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. 2nd International Conference for Innovation in Biomedical Engineering and Life Sciences - ICIBEL 2017 in conjunction with APCMBE 2017. editor / Juliana Usman ; Fatimah Ibrahim ; Mohd Yazed Ahmad ; Swe Jyan Teh ; Norhamizan Hamzah. Springer Verlag, 2018. pp. 189-196 (IFMBE Proceedings).
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abstract = "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.",
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Abu-Samah, A, Ahamad, NH, Abdul Razak, NN, Suhaimi, FM, Jamaluddin, UK, Ralib, AM, Mat-Nor, MB, Pretty, CG, Dickson, JL & Chase, G 2018, Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial. in J Usman, F Ibrahim, MY Ahmad, SJ Teh & N Hamzah (eds), 2nd International Conference for Innovation in Biomedical Engineering and Life Sciences - ICIBEL 2017 in conjunction with APCMBE 2017. IFMBE Proceedings, vol. 67, Springer Verlag, pp. 189-196, 2nd International Conference for Innovation in Biomedical Engineering and Life Sciences, ICIBEL 2017, held in conjunction with the 10th Asia Pacific Conference on Medical and Biological Engineering, APCMBE 2017, Penang, Malaysia, 10/12/17. https://doi.org/10.1007/978-981-10-7554-4_33

Model-based insulin-nutrition administration for glycemic control in Malaysian critical care : First pilot trial. / Abu-Samah, A.; Ahamad, N. H.; Abdul Razak, Normy Norfiza; Suhaimi, F. M.; Jamaluddin, U. K.; Ralib, A. M.; Mat-Nor, M. B.; Pretty, C. G.; Dickson, J. L.; Chase, G.

2nd International Conference for Innovation in Biomedical Engineering and Life Sciences - ICIBEL 2017 in conjunction with APCMBE 2017. ed. / Juliana Usman; Fatimah Ibrahim; Mohd Yazed Ahmad; Swe Jyan Teh; Norhamizan Hamzah. Springer Verlag, 2018. p. 189-196 (IFMBE Proceedings; Vol. 67).

Research output: Chapter in Book/Report/Conference proceedingConference contribution

TY - GEN

T1 - Model-based insulin-nutrition administration for glycemic control in Malaysian critical care

T2 - First pilot trial

AU - Abu-Samah, A.

AU - Ahamad, N. H.

AU - Abdul Razak, Normy Norfiza

AU - Suhaimi, F. M.

AU - Jamaluddin, U. K.

AU - Ralib, A. M.

AU - Mat-Nor, M. B.

AU - Pretty, C. G.

AU - Dickson, J. L.

AU - Chase, G.

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N2 - 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.

AB - 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.

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U2 - 10.1007/978-981-10-7554-4_33

DO - 10.1007/978-981-10-7554-4_33

M3 - Conference contribution

SN - 9789811075537

T3 - IFMBE Proceedings

SP - 189

EP - 196

BT - 2nd International Conference for Innovation in Biomedical Engineering and Life Sciences - ICIBEL 2017 in conjunction with APCMBE 2017

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A2 - Ibrahim, Fatimah

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A2 - Hamzah, Norhamizan

PB - Springer Verlag

ER -

Abu-Samah A, Ahamad NH, Abdul Razak NN, Suhaimi FM, Jamaluddin UK, Ralib AM et al. Model-based insulin-nutrition administration for glycemic control in Malaysian critical care: First pilot trial. In Usman J, Ibrahim F, Ahmad MY, Teh SJ, Hamzah N, editors, 2nd International Conference for Innovation in Biomedical Engineering and Life Sciences - ICIBEL 2017 in conjunction with APCMBE 2017. Springer Verlag. 2018. p. 189-196. (IFMBE Proceedings). https://doi.org/10.1007/978-981-10-7554-4_33