Effectiveness of a Computerized Insulin Order Template in General Medical Inpatients With Type 2 Diabetes A cluster randomized trial

OBJECTIVE - To determine whether an electronic order template for basal-bolus insulin ordering improves mean blood glucose in hospitalized general medical patients with hyperglycemia and type 2 diabetes. RESEARCH DESIGN AND METHODS - We randomly assigned internal medicine resident teams on acute general medical floors to the use of an electronic insulin order template or usual insulin ordering. We measured diabetes care parameters for 1 month on all patients with type 2 diabetes and blood glucose <60 mg/dl or >180 mg/dl treated by these physicians. RESULTS - Intervention group patients (n = 65) had mean glucose or 195 +/- 66 mg/dl. Control group patients (n = 63) had mean glucose of 224 +/- 57 mg/dl (P = 0.004). In the intervention group, there was no increase in hypoglycemia. CONCLUSIONS - Access to a computer insulin order template was associated with improved mean glucose levels without increasing hypoglycemia in patients with type 2 diabetes.