Does anyone us glucomander ?

it is a glucose program for anyone who is diabetic. It is supposed to be better than sliding scale. It attaches to our EPIC program. A nurse takes the accucheck the same time they deliver the meal tray. After 30 min, the carbs are counted and the patient given insulin based on what they ate. If the time is longer than an hour from accucheck to insulin, another accucheck is ordered.

I was hoping someone has used this program.

We have it; however, our physician's are loathe to use it. They prefer to order the sliding scales, etc.

I'm curious on its effectiveness. The training that I attended made it look quite user friendly, so I was disappointed we don't use it.

it isn't overly friendly. The docs still need to manage the overall dose of insulin. It has asked us to give double digit of aspart with a BG of 90

My workplace uses glucomander. It is all done through Epic. We don't use the carb counting feature of it though, rather we use it for continuous insulin drips. While everyone does complain about it, it is just the pain in the behind of having such frequent blood glucose checks that gets tedious, not the program itself. I find the program very easy to use.

I've used it at a couple of facilities but only for insulin drips, at both places we stopped using it because of safety issues. There's not anything inherently unsafe about the program so long as it's used as intended, which is that it provides more of a suggestion than truly reliable adjustments to an insulin drip, in both places we had issues with nurses becoming too reliant on the boluses and rate changes it was suggesting, which led to adverse events and near misses.

Never heard of it and I am the Diabetes champion and an EPIC super user. For out insulin drips, we just do a manual check Q1H. Other pts have mealtime plus SS or just SS if necessary. Most are T2 on out unit, although we are getting a lot more T1s and even some t2s with pumps and CGMS. Our glucometers are linked to EPIC but nothing that takes a BG value and tells you what to do.

Sounds like a waste of money. Peds have a different system, they have a dual bag system: one has insulin and the other glucose and they titrate according to an algorithm. It works really well. My son was in the PICU for severe dka (pH of 6.8) they had him normalized in about 24 hours and then he was transferred to an intermediate unit an home the next day. talk about a whirlwind! DKA can move FAST! Went from a little sick to almost dead in less than 16 hours. Out of ICU in 24 hours and home another in another 24 hours