Basal Bolus Insulin Therapy

Diabetes, Obesity & Nutrition Strategic Clinical NetworkTM

An early priority to improve glycemic management in Alberta hospitals was the development of an implementation strategy for Basal Bolus Insulin Therapy (BBIT). The strategy focused on best practices through clinical education, quality improvement and knowledge translation to promote safe and effective diabetes management in hospital.

Basal Bolus Insulin Therapy is a way of ordering multiple daily injections of subcutaneous insulin that better replicates how our body naturally produces insulin. It aims to keep hospitalized patients’ blood sugars within the target range of 5-10 mmol/L.

Provincial Implementation

The DON SCN supported a number of early-adopter Alberta hospitals to develop an implementation strategy, and BBIT implementation has now spread to many in urban and rural hospitals in Alberta.

By zone, these include:

  • North Zone: Queen Elizabeth II Hospital (Grande Prairie)
  • Edmonton Zone: University of Alberta Hospital, Grey Nuns Community Hospital
  • South Zone: Chinook Regional (Lethbridge)
  • Calgary Zone: Oilfields General Hospital (Black Diamond), Canmore General Hospital, and the hospitalists program at Foothills Medical Centre, Peter Lougheed Centre, Rockyview General Hospital, and South Health Campus