Bold Voices - June 2014 - (Page 17)

AT THE BEDSIDE Spice It Up With Cinnamon A review of randomized controlled trials (RCTs) evaluating cinnamon's effect on glycemic and serum lipid levels was conducted, due to small sample sizes or conflicting results in previous studies. "Cinnamon Use in Type 2 Diabetes: An Updated Systematic Review and Meta-Analysis," in Annals of Family Medicine, notes that controlling glycemia is a constant issue for patients with diabetes, and cardiovascular disease - a major complication of diabetes - is influenced largely by glycemic measures. The review concludes that "consumption of cinnamon is associated with a statistically significant decrease in levels of fasting plasma glucose, total cholesterol, LDL-C, and triglyceride levels, and an increase in HDL-C levels"; however, it did not find a significant effect on hemoglobin A1c. In the RCTs analyzed, cinnamon intake ranged from 120 mg per day to 6 g per day for four to 18 weeks. The review notes that "the high degree of heterogeneity may limit the ability to apply these results to patient care, because the preferred dose and duration of therapy are unclear." IHEs: Significant Cause of Preventable ED Visits Admission rates for insulinrelated hypoglycemia and errors were more than double in older patients. E very year, a significant number of preventable emergency department (ED) visits can be attributed to insulin-related hypoglycemia and errors (IHEs), notes a report published online in JAMA Internal Medicine. An estimated 97,648 ED visits for IHEs occurred annually from 2007 through 2011, according to "National Estimates of InsulinRelated Hypoglycemia and Errors Leading to Emergency Department Visits and Hospitalizations," and nearly a third resulted in hospitalization. Admission rates for IHEs were more than twice as high in patients 80 or older, who are also five times more likely to have subsequent hospitalizations. The most common reasons were reduced food intake and confusion over dose and insulin type. According to the study, "Meal-planning misadventures and insulin product mix-ups are important targets for hypoglycemia prevention efforts." Physicians should understand the risks of IHEs when recommending diabetes treatment for patients, says Sei Lee of the University of California, San Francisco, in an editorial that accompanied the study and was reported in a related article in Reuters. Some of Lee's recommendations call for a revision of the diabetes management guidelines and the development of quality indicators to avoid glycemic overtreatment. He adds that non-hospitalized people more than 80 years old should not be prescribed insulin, since they may not realize the benefits of the drug, which accumulate over time. The four-year study is based on the National Electronic Injury Surveillance System-Cooperative Adverse Drug Event Surveillance Project and a national household survey of insulin use. 17 AACN BOLD VOICES JUNE 2014 Cinnamon consumption is linked to a decrease in fasting glucose, total cholesterol, LDL-C and triglyceride levels. http://www.medscape.com/viewarticle/811003 https://archinte.jamanetwork.com/article.aspx?articleid=1835360 https://archinte.jamanetwork.com/article.aspx?articleid=1835360 https://archinte.jamanetwork.com/article.aspx?articleid=1835360 https://archinte.jamanetwork.com/article.aspx?articleid=1835360 http://www.reuters.com/article/2014/03/10/us-er-visits-for-low-blood-idUSBREA291JY20140310 http://www.healthindicators.gov/Resources/DataSources/NEISS-CADES_86/Profile http://www.healthindicators.gov/Resources/DataSources/NEISS-CADES_86/Profile http://www.healthindicators.gov/Resources/DataSources/NEISS-CADES_86/Profile http://www.healthindicators.gov/Resources/DataSources/NEISS-CADES_86/Profile

Table of Contents for the Digital Edition of Bold Voices - June 2014

Another Angle
Pres Note Teaser
‘Take a Chance to Make a Change in Your Patients’ Lives’
New Mobile App Launched: AACN Bedside
AACN Research Grants Continue to Drive Evidence-Based Care
AACN Scholarships to Develop Training Skills and Professional Growth
Institutional Racism Can Damage Healthcare
Culture of Violence Becoming Normal
Nip Ethical Violations in the Bud
Up to Half of Prescribed Antibiotics Unnecessary, Inappropriate
Minimal Sedation, Early Mobilization May Reduce Delirium
Care Transition Programs Reduce Readmissions, Penalties
Unclear Relationship Between Hypothyroidism and Mild Cognitive Impairment
Women Have Unique Stroke Risks
Costs Increase Because of More Inpatient Constipation
Nursing-Supportive Work Environments Linked to Better Care
Smile, You’re on ReadyCam!
Automated EHR-Linked Checklist Greatly Reduces CLABSIs
Online Game Helps Students Identify, Manage Sepsis
Sepsis Detection System More Effective in Patient Diagnosis
In Our Journals
Test Can Predict Breast Cancer Outcomes
Spice It Up With Cinnamon
IHEs: Significant Cause of Preventable ED Visits
Certification Capsules
With Deep Appreciation for Your Generosity
Save the Dates for Progressive Care, Nurse Manager Fall Conferences
AACN Chapters Model Excellence
Transitions
‘I Am a Critical Care Nurse’
Letters
President’s Note

Bold Voices - June 2014

http://www.nxtbook.com/nxtbooks/aacn/boldvoices_202004
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_202003
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_202002
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_202001
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201912
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201911
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201910
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201909
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201908
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201907
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201906
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201905
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201904
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201903
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201902
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201901
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201812
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201811
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201810
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201809
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201808
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201807
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201806
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201805
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201804
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201803
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201802
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201801
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201712
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201711
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201710
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201709
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201708
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201707
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201706
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201705
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201704
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201703
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201702
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201701
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201612
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201611
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201610
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201609
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201608
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201607
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201606
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201605
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201604
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201603
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201602
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201601
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201512
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201511
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201510
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201509
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201508
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201507
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201506
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201505
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201504
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201503
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201502
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201501
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201412
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201411
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201410
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201409
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201408
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201407
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201406
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201405
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201404
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201403
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201402
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201401
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201312
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201311
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201310
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201309
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201308
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201307
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201306
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201305
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201304
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201303
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201302
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201301
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201212
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201211
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201210
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201209
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201208
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201207
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201206
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201205
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201204
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201203
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201202
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201201
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201112
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201111
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201110
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201109
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201108
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201107
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201106
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201105
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201104
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201103
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201102
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201101
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201012
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201011
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201010
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201009
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201008
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201007
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201006
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201005
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201004
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201003
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201002
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201001
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_200912
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_200911
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_200910
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_200909
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_200908
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_200907
http://www.nxtbookMEDIA.com