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.

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
‘I Am a Critical Care Nurse’
President’s Note

Bold Voices - June 2014