CMC has a unique inpatient diabetes team that provides patient education, daily blood glucose management, staff education, physician support and patient follow up care after discharge. Here are a few things we have been working on over the past year: CMC started its participation with the HIIN-ADE-Hypoglycemic Sprint project in February. This project is a state-wide initiative to improve hospital hypoglycemia rates, identified as a blood-glucose less then 50mg/dL in diabetes patients. CMC submitted monthly data showing hypoglycemia rates both less than 50mg/dL and less than 70mg/dL. This data was compared with other participating hospitals showing that CMC results were below the average for the state: 4.6% vs. 6.5% (fig. 2). Congratulations are extended to all staff and providers for the hard work they do to provide a safe stay for our diabetes patients. In March, Dr. Layal Esper, Dr. Pallavi Guddeti and Janice Lucier, RN, BSN, CDE, met to institute a new project to assist with type 2 diabetes (T2D) management in the hospital. This project was based on recent literature by Dr. Guillermo Umpierrez of Emory College indicating that some T2D patients can be managed on an oral hyperglycemic agent instead of insulin. The standard of care in the hospital is insulin therapy for the majority of patients; however, these studies showed these patients were treated safely with two specific DPP4 inhibitors: Sitagliptin (Januvia) or Linagliptin (Tradjenta). An algorithm to use this option (Januvia) was developed and initiated in June at CMC. The project has been successful but needs more time to become a recognized option. The goal was to improve patient and nursing satisfaction with the decreased need for insulin use for diabetes management. These few months have shown us that Januvia is effective in a small T2D population. CMC hosted its first off-site Diabetes Conference last November to recognize National Diabetes Month. The conference covered a range of multidisciplinary topics from outpatient education, updates to diabetes practice and medications, to wound care and the Amputee Clinic. It was well received by the participants and the community. There will be plans to host more diabetes conferences are in the future. CMC’s robust IP diabetes education program provides support to patients, nursing staff and providers. Our goal is to improve patient care, education and satisfaction while patients are in the hospital. We have more projects planned to support our vision. Let your patients know that the IP diabetes team is available to assist with their care. Visit the Diabetes Resource Instititute section on the intranet for up-to-date information.