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Inpatient Diabetes Management Service

Inpatient diabetes management team

The Team

Aniket Sidhaye, M.D.

Director, Inpatient Diabetes Management Service
Chairperson, Glucose Steering Committee

Sudipa Sarkar, M.D.

Associate Director Johns Hopkins Bayview, Inpatient Diabetes Management Service
Co-Chair, Glucose Steering Committee

Holly Bashura, C.R.N.P., C.D.E.

Lead Nurse Practitioner, Inpatient Diabetes Management Service
Clinical Facilitator, Glucose Steering Committee

Anna Manalo, C.R.N.P., C.D.E.

Nurse Practitioner, Inpatient Diabetes Management Service

Rachhya Regmi, C.R.N.P.

Nurse Practitioner, Inpatient Diabetes Management Service

The Program

The Johns Hopkins Inpatient Diabetes Management Service (IDMS) was implemented on July 1, 2003, as a pilot diabetes clinical consultation service to improve glucose control and reduce length of stay in people with diabetes undergoing cardiac surgery. During the first year of the program, the length of stay for people with diabetes undergoing cardiac surgery was reduced by 58 percent. We subsequently expanded to other clinical services throughout the hospital. In January 2006, our clinical service became an integral component to a hospital-wide Glucose Control Task Force (GCTF) that was commissioned in response to a sentinel event related to hypoglycemia. Because of ongoing need for diabetes policy development, education and safety monitoring, the GCTF evolved into a standing Glucose Management Committee (GMC) in July 2008 and into the Glucose Steering Committee in July 2010.

Together, the IDMS and Glucose Steering Committee comprise the Johns Hopkins Glucose Management Program. The goals of this program are as follows:

  • To perform inpatient diabetes consultations and respond promptly and effectively to improve glycemic control among inpatients with diabetes on adult medical and surgical services. Our clinical services are currently focused on several complex patient populations that require our support: cardiac surgery, transplant surgery, pancreatectomy and insulin pump patients. Additionally, the IDMS provides consultative services to patients admitted to other medical and surgical units, including acute care and intermediate care units to assist with management of insulin infusion protocols and transitioning patients from insulin infusions to subcutaneous insulin. 
  • To support the activities of the Johns Hopkins Glucose Steering Committee to promote better glycemic control in a safe and effective manner through the following activities:
    • Improve safe coordination of diabetes care throughout the hospital by development and implementation of a standardized, hospital-wide insulin orderset (written and EPIC) and additional glucose management policies. 
    • Reduce severe hypoglycemic episodes by implementation of a hospital-wide hypoglycemia protocol.
    • Develop uniform insulin infusion protocols throughout the critical care units in the hospital with uniform incorporation of hypoglycemia treatment.
    • Improve institutional diabetes education through distribution of a Web-based diabetes educational resource and a diabetes nursing superuser program.
  • To develop a team approach, in conjunction with the Glucose Steering Committee, to investigate and respond to glucose-related safety mishaps within one week and to generate a report and preventive policy plan within one month.
  • To monitor the effectiveness of our interventions by exploiting hospital-wide glucose measurement data and insulin prescribing information from our electronic medical record system (EPIC).