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Proposed Change:  To enhance and improve inpatient diabetes management, beginning with implementing basal bolus insulin therapy (BBIT). BBIT will support more consistent clinician practice. It involves the optimization of insulin delivery, and titration of insulin to meet glycemic targets of 5-10 mmol (pre-meals) for patients with diabetes in acute care (aligned with the Canadian Diabetes Association Clinical Practice Guidelines). This change should be supported by an evidenced based implementation strategy including: identification of site specific barriers and facilitators, collection of data (before and after implementation), and multidisciplinary site champions supporting multidisciplinary ongoing education.

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