Perceptions of resident physicians about management of inpatient hyperglycemia in an urban hospital.

Background: Information regarding practitioner beliefs about inpatient diabetes care is limited.

Objective: To assess resident physician attitudes about inpatient hyperglycemia and determine perceived barriers to optimal glycemic control in an urban hospital setting.

Design: A previously developed questionnaire was modified and administered.

Use of a computerized intravenous insulin algorithm within a nurse-directed protocol for patients undergoing cardiovascular surgery.

Background: Several studies have shown the benefits of tight glycemic control in the intensive care unit. A large hospital became concerned about certain deficiencies in the management of glucose control in conjunction with cardiovascular surgery. A multidisciplinary steering committee was formed, which implemented a glycemic protocol, the subject of this study.