№ lp_1_2_09788
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This document outlines the standards for safe insulin management and use within Canberra Health Services, providing detailed procedures on prescribing, administering, and monitoring insulin.
Note:
Year
Region / city:
Canberra
Topic:
High-Risk Medicines, Insulin Administration
Document Type:
Procedure
Institution:
Canberra Health Services
Target Audience:
CHS Employees (Medical, Nursing, Midwifery, Pharmacy, Allied Health)
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Year:
2018
Region / City:
London
Topic:
Diabulimia, Integrated Diabetes and Mental Health Pathway
Document Type:
Response Template
Organization:
NHS England
Author:
Not specified
Target Audience:
Health providers, commissioners
Period of Implementation:
15 months
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2026
Organization:
Canberra Health Services
Department:
Neonatology
Document Type:
Procedure
Target Audience:
Medical Officers, Registered Nurses, Midwives, Student Nurses under supervision
Scope:
Neonates from birth to 44 weeks corrected gestational age
Related Policies:
Neonatal Intensive Care Drug Manual, ANMF guidelines
Definitions Included:
Blood Glucose Levels, Hyperglycaemia, Significant Hyperglycaemia
Treatment Recommendations:
Insulin infusion, glucose monitoring, TPN and enteral feeding guidance
Risks Addressed:
Hypoglycaemia, glucose delivery variability, insulin-plastic binding
Year:
2022
Region / City:
England
Topic:
Healthcare, Insulin Administration
Document Type:
Policy
Organization / Institution:
NHS England and Improvement (NHSEI)
Author:
Not specified
Target Audience:
Healthcare workers, support workers, non-regulated health and care roles, allied health professionals
Period of validity:
Not specified
Approval date:
November 2022
Date of changes:
Not specified
Year:
2022
Region / City:
ACT and surrounding NSW
Topic:
Paediatric Diabetes Care, Insulin Pump Therapy
Document Type:
Clinical Guideline
Organization:
Canberra Health Services (CHS)
Author:
Canberra Health Services, Paediatric Endocrinology and Diabetes Service
Target Audience:
Paediatric Diabetes Healthcare Providers
Period of Validity:
N/A
Approval Date:
N/A
Date of Last Revision:
N/A
Year:
2026
Region / city:
Canberra
Topic:
Insulin infusion management in hospital settings
Document type:
Procedure
Organization / institution:
Canberra Health Services
Author:
Not specified
Target audience:
Medical officers, nurses, midwives, ICU/HDU/ED staff at North Canberra Hospital
Effective period:
Not specified
Approval date:
Not specified
Revision date:
Not specified
Year:
2025
Region / City:
Tower Hamlets, Newham, Bedfordshire
Topic:
Diabetes care, insulin administration, healthcare policy
Document type:
Policy
Organization:
East London NHS Foundation Trust
Author:
Georgina Amparado Molina, Michael Asuma, Caroline Ogunsola
Target Audience:
Healthcare professionals, clinical staff
Effective period:
May 2025 – May 2028
Approval date:
14th May 2025
Date of last review:
May 2025
Date of next review:
May 2028
Version:
6
Issuing organisation:
Frimley Integrated Care System
Region:
Frimley ICS
Country:
United Kingdom
Document status:
Controlled document
Review date:
August 2025
Key topics:
Hybrid Closed Loop systems, insulin pump therapy, continuous glucose monitoring
Clinical area:
Paediatric type 1 diabetes
Target population:
Children and young people with type 1 diabetes
Relevant guidance:
NICE Technology Appraisal TA943
Care setting:
Specialist Diabetes Service
Multidisciplinary team involvement:
Yes
Implementation scope:
NHS England services
Document title:
Protocol for the adjustment of insulin doses in diabetes
Organisation:
Aneurin Bevan University Health Board
Service area:
Adult Diabetes Service
Type of document:
Clinical protocol
Target population:
Adults with diabetes
Clinical setting:
Acute and community settings
Intended users:
Diabetes dietitians within the multidisciplinary team
Author:
Elaine Hibbert-Jones
Contributors:
Francesca Annan; Dorothy Debrah; Neera Agarwal; Kathryn John
Responsible committee:
Medicines Management
Geographical scope:
Wales
Insulin preparations:
Aneurin Bevan Drug Formulary
Exclusions:
Inpatients; pregnancy; paediatrics; insulin pump therapy without additional training
Date issued:
May 2018
Review date:
May 2021
Key topics:
Insulin dose adjustment; hypoglycaemia; hyperglycaemia; blood glucose monitoring; basal and bolus insulin; injection technique
Year:
2025
Region / City:
Lancashire (North, Central and East Lancashire), Blackpool, Blackburn with Darwen, South Cumbria
Topic:
Insulin safety
Document Type:
Prescribing Alert
Organisation:
LSC ICB Medicines Safety Committee
Author:
NHS England
Target Audience:
Healthcare professionals
Period of Action:
Ongoing
Approval Date:
06.08.2025
Modification Date:
06.08.2025
Year:
2024
Region / City:
Global
Topic:
Insulin treatment in children and adolescents with diabetes
Document Type:
Clinical Practice Consensus Guidelines
Institution:
ISPAD
Authors:
Eda Cengiz, Thomas Danne, Tariq Ahmad, Ahila Ayyavoo, David Beran, Ethel Codner, Sarah Ehtisham, Przemyslawa Jarosz-Chobot, Lucy N. W. Mungai, Sze May Ng, Megan Paterson, Leena Priyambada
Target Audience:
Healthcare professionals involved in pediatric diabetes care
Period of Effect:
2024 and ongoing
Approval Date:
2024
Date of Changes:
2024
Keywords:
Type 1 diabetes, insulin, children, adolescents, intensive insulin therapy, diabetes complications
Description:
Clinical guidelines for insulin therapy in pediatric diabetes, focusing on updated insulin treatment regimens, including bolus and basal insulins, as well as new insulin analogs and devices for therapy.
Note:
Year
Topic:
Health
Document Type:
Procedural Guideline
Organization:
Plano Independent School District
Target Audience:
School health staff, nurses
Year:
2015
Region / city:
Global
Topic:
Acute hyperkalemia treatment
Document type:
Research review
Organization / institution:
Not specified
Author:
Not specified
Target audience:
Healthcare professionals
Period of validity:
Not specified
Date of approval:
Not specified
Date of amendments:
Not specified
Conflict of Interests:
None
Clinical outcomes:
Potassium levels, ECG findings
Main intervention:
Intravenous calcium
Comparison:
No intervention, other interventions, placebo
Setting:
Adults
Background:
The acute treatment of hyperkalemia was reviewed in 2015.
Assessment:
Hyperkalemia is a common and life-threatening electrolyte imbalance.
Desirable effects:
Moderate effect of pharmacological intervention in mitigating hyperkalemia.
Undesirable effects:
Potential harm from calcium administration, especially in cardiac arrest patients.
Certainty of evidence:
Low certainty, based on limited observational data.
Values:
Primary outcome is ECG changes, with limited clinical relevant data.
Balance of effects:
Suggests against routine calcium use in cardiac arrest (weak recommendation).
Resources required:
Low cost of calcium.
Cost effectiveness:
No evidence of cost-effectiveness studies.
Equity:
No studies identified.
Acceptability:
Calcium has been recommended in international guidelines, but the new suggestion may face resistance.
Feasibility:
Feasible as a recommendation against routine use.
Context:
This document reviews evidence on the use of intravenous calcium for acute hyperkalemia treatment and recommends against its routine use in patients with hyperkalemia-induced cardiac arrest.
Population:
Paediatric patients in cardiac arrest suspected to be caused by hyperkalaemia
Intervention:
Insulin with glucose or salbutamol
Comparison:
No insulin with glucose and no salbutamol
Main outcomes:
Survival to discharge; Survival to discharge with favourable neurological outcome (PCPC 1–3 or no change from baseline); Survival to discharge with PCPC 1–2 or no change from baseline
Setting:
Any setting
Perspective:
Not specified
Conflict of interests:
None
Problem priority:
Varies
Desirable effects:
Small
Undesirable effects:
Trivial
Certainty of evidence:
No included studies
Values and preferences:
Probably no important uncertainty or variability
Balance of effects:
Probably favors the intervention
Resources required:
Varies
Certainty of evidence of required resources:
No included studies
Cost effectiveness:
No included studies
Equity impact:
Unknown
Acceptability:
Unknown
Feasibility:
Probably yes
Title:
Supplementary Information for Ethanol extract of Lentinus edodes exerted antioxidant activity in Caenorhabditis elegans by regulating insulin DAF-16 signaling pathway
Document Type:
Supplementary information
Section:
Materials and Methods
Research Topic:
Antioxidant activity and insulin DAF-16 signaling pathway
Biological Material:
Lentinus edodes
Model Organism:
Caenorhabditis elegans (N2)
Experimental Groups:
NFD, LEEE-L (0.1 mg/mL), LEEE-M (0.5 mg/mL), LEEE-H (1 mg/mL)
Extraction Method:
Ethanol extraction with ultrasonic treatment
In Vitro Assays:
DPPH, ABTS, hydroxyl radical scavenging assays
In Vivo Assays:
Heat stress assay, acute oxidative stress assay
Biochemical Indicators:
MDA, T-SOD, GSH-PX, CAT, ROS
Cell Analysis:
Apoptosis assay with acridine orange staining
Reagents and Kits:
Beyotime Biotechnology cell lysate; Jiancheng Bioengineering assay kits
Replication:
Three independent repeats per experiment
Geographical Reference:
Jinggangshan, China; Fuzhou, China; Shanghai, China; Nanjing, China
Storage Conditions:
-80°C freezer storage for extract
Note:
Year
Region / city:
Canberra
Subject:
Anticoagulant medicines, High-Risk Medicines
Document type:
Procedure
Organization / institution:
Canberra Health Services
Target audience:
Health professionals involved in prescribing, dispensing, and administering anticoagulants
Context:
This document provides guidelines on the safe management of high-risk anticoagulant medicines in Canberra Health Services to prevent prescription, dispensing, and administration errors.
Year:
2023
Region / City:
Victoria
Subject:
Medication Safety, High-Risk Medicines
Document Type:
Guidance
Organization:
Victorian Department of Health
Author:
eHealth High Risk Medicine Safety Advisory Group
Target Audience:
Healthcare professionals, Clinical staff
Period of validity:
Ongoing
Approval Date:
2023
Date of Changes:
None
Year:
Not specified
Region / City:
Australia
Topic:
Health, Safety, Environment
Document Type:
Framework / Policy Guidance
Organization:
Telstra
Audience:
Suppliers of services and high-risk products
Scope:
Suppliers of services and high-risk products to Telstra
References:
Telstra HSE Standards, AS/NZ 3745
Attachments:
Definitions (Attachment 1)
Requirements:
Legal and contractual obligations of suppliers, mandatory HSE elements including Asbestos, Gas Detection, Special Work Locations, Electromagnetic Energy
Emergency Planning:
Compliance with AS/NZ 3745 for facilities management
Monitoring:
Managed and reviewed by Telstra designated contact, network induction mandatory for suppliers and visitors
Risk Management:
Includes hazard identification, inspections, risk assessment, and control measures
Environmental Considerations:
Energy impact, recycling, waste management, visual and flora/fauna protection
Note:
Year
Subject:
Travel and safety regulations
Document Type:
Waiver Application
Organization / Institution:
University of Connecticut
Target Audience:
University students participating in travel programs
Year:
2024
Region / city:
Australia
Theme:
Medical devices, Clinical trials
Document type:
Guidance
Institution:
Therapeutic Goods Administration (TGA)
Target audience:
Clinical trial sponsors, Medical device manufacturers
Effective period:
From 20 March 2024
Approval date:
14 March 2024
Changes date:
14 March 2024