Children's Hospital Colorado (Pediatric) |
Random glucose was included in routine laboratory obtained annually on all patients (at the clinic visit closest to their birthdays). During weekly team meetings, the team reviewed all charts for patients scheduled for clinic that week. OGTT was then discussed with all patients over 10 years old who had not completed one in the prior year. During team meetings in November, the team also reviewed and contacted all patients over 10 years old who had not completed an OGTT during the preceding year.
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National Jewish Health (Adult) |
The team reviewed all patient charts the day prior to visits to identify patients unscreened by random glucose. The team notified the providers who would offer random glucose and OGTT screening to all non-diabetes patients.
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Phoenix Children’s Hospital (Pediatric) |
OGTT was added to annual laboratories in patients 10 years of age and older. The team reviewed all patient charts prior to visits for annual laboratories to identify patients unscreened by random glucose during the prior year and also identified patients with poor weight gain or loss of lung function as needing CFRD screening. The CF team notified the providers which patients needed screening. Providers would offer random glucose and OGTT screening to those and all non-diabetes patients that were older than 10 years of age. Patients that needed screening were notified by mail prior to clinic to obtain an OGTT at an outside laboratory. If it was not performed by the clinic visit, patients were asked again to obtain the OGTT at an outside laboratory. The staff revised the patient assessment form for clinic visits to flag the need for CFRD screening. Patients would undergo fasting and 2 h postprandial glucose checks during the first 48 h of any hospital admission.
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University of Arizona (combined Adult and Pediatric) |
All adolescent and adult patients admitted for pulmonary exacerbations were screened with premeal, bedtime and 0200 finger-stick glucose measurements for the first 48 h of hospitalization to detect illness-associated impaired glucose tolerance to prompt additional screening later.
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University of Utah (Primary Children’s Medical Center, Pediatric) |
OGTT was added to the usual tests and procedures during annual visits. The nurse coordinator or dietician notified families to come to clinic with the patient fasting as part of clinic preparations the week prior to the visit. The clinic tried to schedule visits with fasting OGTT in the morning, preferably as a first appointment. OGTT was rescheduled whenever planned but not performed.
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University of Utah (Adult) |
OGTT was planned for posthospitalization visits to maximize the chance that patients were stable at the time of testing. The nurse coordinator identified patients without CFRD or OGTT within a year of a clinic visit during clinic prep and called to ask each patient to come to clinic fasting. When not performed at clinic, the physician and staff gave patients prescriptions to complete the test either at the clinic on another day or at a facility convenient to the patient.
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University of New Mexico (combined Pediatric and Adult) |
OGTT was added as a test for annual visits in clinic. The CF dietician kept track of patients in need of OGTT and made sure to tell patients prior to the clinic date to come fasting. OGTT was limited to approximately 3/week to facilitate first morning appointments.
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