Irl B Hirsch

Summary

Publications

  1. pmc How to best manage glycemia and non-glycemia during the time of acute myocardial infarction
    Irl B Hirsch
    Division of Metabolism, University of Washington School of Medicine, Seattle, Washington, USA
    Diabetes Technol Ther 14:S22-32. 2012
  2. pmc Web-based collaborative care for type 1 diabetes: a pilot randomized trial
    Kelly P McCarrier
    Department of Health Services, University of Washington, Seattle, Washington 98195, USA
    Diabetes Technol Ther 11:211-7. 2009
  3. doi request reprint Qualitative evaluation of a mobile phone and web-based collaborative care intervention for patients with type 2 diabetes
    Courtney Rees Lyles
    Department of Health Services, University of Washington, Seattle, Washington 98104, USA
    Diabetes Technol Ther 13:563-9. 2011
  4. pmc Web-based collaborative care for type 2 diabetes: a pilot randomized trial
    James D Ralston
    Center for Health Studies, Group Health Cooperative, Seattle, Washington, USA
    Diabetes Care 32:234-9. 2009
  5. doi request reprint Practical pearls in insulin pump therapy
    Irl B Hirsch
    University of Washington School of Medicine, Medical Center, 4225 Roosevelt Way NE, Seattle, WA 98101, USA
    Diabetes Technol Ther 12:S23-7. 2010
  6. doi request reprint Sensor-augmented insulin pump therapy: results of the first randomized treat-to-target study
    Irl B Hirsch
    University of Washington Medical Center Roosevelt, Seattle, Washington 98105, USA
    Diabetes Technol Ther 10:377-83. 2008
  7. ncbi request reprint Intensifying insulin therapy in patients with type 2 diabetes mellitus
    Irl B Hirsch
    Diabetes Care Center, Division of Endocrinology, University of Washington School of Medicine, Seattle, Washington 98195, USA
    Am J Med 118:21S-6S. 2005
  8. doi request reprint Using multiple measures of glycemia to support individualized diabetes management: recommendations for clinicians, patients, and payers
    Irl B Hirsch
    University of Washington School of Medicine, Seattle, Washington 98105, USA
    Diabetes Technol Ther 14:973-83; quiz 983. 2012
  9. ncbi request reprint Inpatient diabetes: review of data from the cardiac care unit
    Irl B Hirsch
    Department of Medicine, Division of Metabolism, Endocrinology and Nutrition, University of Washington School of Medicine, Seattle, Washington, USA
    Endocr Pract 12:27-34. 2006
  10. ncbi request reprint Using an Internet comanagement module to improve the quality of chronic disease care
    Harold I Goldberg
    University of Washington, Seattle, USA
    Jt Comm J Qual Saf 29:443-51. 2003

Collaborators

Detail Information

Publications46

  1. pmc How to best manage glycemia and non-glycemia during the time of acute myocardial infarction
    Irl B Hirsch
    Division of Metabolism, University of Washington School of Medicine, Seattle, Washington, USA
    Diabetes Technol Ther 14:S22-32. 2012
    ..The use of continuous glucose monitoring in this population may allow better ability to safely reach glycemic targets, which it is hoped will improve glycemic control...
  2. pmc Web-based collaborative care for type 1 diabetes: a pilot randomized trial
    Kelly P McCarrier
    Department of Health Services, University of Washington, Seattle, Washington 98195, USA
    Diabetes Technol Ther 11:211-7. 2009
    ....
  3. doi request reprint Qualitative evaluation of a mobile phone and web-based collaborative care intervention for patients with type 2 diabetes
    Courtney Rees Lyles
    Department of Health Services, University of Washington, Seattle, Washington 98104, USA
    Diabetes Technol Ther 13:563-9. 2011
    ..Drawing on previous web-based diabetes management programs based on the Chronic Care Model, we expanded an intervention to include care management through mobile phones and a game console web browser...
  4. pmc Web-based collaborative care for type 2 diabetes: a pilot randomized trial
    James D Ralston
    Center for Health Studies, Group Health Cooperative, Seattle, Washington, USA
    Diabetes Care 32:234-9. 2009
    ..To test Web-based care management of glycemic control using a shared electronic medical record with patients who have type 2 diabetes...
  5. doi request reprint Practical pearls in insulin pump therapy
    Irl B Hirsch
    University of Washington School of Medicine, Medical Center, 4225 Roosevelt Way NE, Seattle, WA 98101, USA
    Diabetes Technol Ther 12:S23-7. 2010
    ..Finally, the introduction of bolus calculators and software to download the pumps has provided technology that when used appropriately can further benefit glycemic control...
  6. doi request reprint Sensor-augmented insulin pump therapy: results of the first randomized treat-to-target study
    Irl B Hirsch
    University of Washington Medical Center Roosevelt, Seattle, Washington 98105, USA
    Diabetes Technol Ther 10:377-83. 2008
    ....
  7. ncbi request reprint Intensifying insulin therapy in patients with type 2 diabetes mellitus
    Irl B Hirsch
    Diabetes Care Center, Division of Endocrinology, University of Washington School of Medicine, Seattle, Washington 98195, USA
    Am J Med 118:21S-6S. 2005
    ....
  8. doi request reprint Using multiple measures of glycemia to support individualized diabetes management: recommendations for clinicians, patients, and payers
    Irl B Hirsch
    University of Washington School of Medicine, Seattle, Washington 98105, USA
    Diabetes Technol Ther 14:973-83; quiz 983. 2012
    ....
  9. ncbi request reprint Inpatient diabetes: review of data from the cardiac care unit
    Irl B Hirsch
    Department of Medicine, Division of Metabolism, Endocrinology and Nutrition, University of Washington School of Medicine, Seattle, Washington, USA
    Endocr Pract 12:27-34. 2006
    ..To review prospective and retrospective studies in an effort to assess the effect of glucose control on outcomes in critically ill populations...
  10. ncbi request reprint Using an Internet comanagement module to improve the quality of chronic disease care
    Harold I Goldberg
    University of Washington, Seattle, USA
    Jt Comm J Qual Saf 29:443-51. 2003
    ..At the University of Washington, a diabetes care module was developed, and the feasibility of allowing patients with type 2 diabetes to comanage their disease from home was pilot tested...
  11. ncbi request reprint Continuous subcutaneous insulin infusion (CSII) of insulin aspart versus multiple daily injection of insulin aspart/insulin glargine in type 1 diabetic patients previously treated with CSII
    Irl B Hirsch
    University of Washington, Seattle, WA, USA
    Diabetes Care 28:533-8. 2005
    ..Multiple daily injection (MDI) therapy of bolus insulin aspart and basal insulin glargine was compared with continuous subcutaneous insulin infusion (CSII) with aspart in type 1 diabetic patients previously treated with CSII...
  12. ncbi request reprint A multifaceted intervention in support of diabetes treatment guidelines: a cont trial
    Irl B Hirsch
    Division of Metabolism, Endocrinology and Nutrition, University of Washington School of Medicine, 1959 NE Pacific Street, Box 356176, Seattle, WA 98195, USA
    Diabetes Res Clin Pract 58:27-36. 2002
    ..Providers received didactic training and computerized compliance feedback to support staged diabetes management, an evidenced-based approach to diabetes care...
  13. doi request reprint Designing mobile support for glycemic control in patients with diabetes
    Lynne T Harris
    Department of Health Services, University of Washington, Magnuson Health Sciences Center, Room H 664, Seattle, WA 98195 7660, USA
    J Biomed Inform 43:S37-40. 2010
    ..Participants saw value in the mobile system as an adjunct to the Web-based program and traditional office-based care. Mobile diabetes management systems may represent one strategy to improve the quality of diabetes care...
  14. doi request reprint Self-Monitoring of Blood Glucose (SMBG) in insulin- and non-insulin-using adults with diabetes: consensus recommendations for improving SMBG accuracy, utilization, and research
    Irl B Hirsch
    Department of Medicine, University of Washington Medical Center Roosevelt, Seattle, Washington 98105, USA
    Diabetes Technol Ther 10:419-39. 2008
    ..The panel also made suggestions for designing future studies that increase the ability to discern optimal models of SMBG utilization for individuals with diabetes who may, or may not, use insulin...
  15. ncbi request reprint Motherhood, apple pie, hemoglobin A(1C), and the DCCT
    Dace L Trence
    University of Washington Medical Center, Seattle, Washington 98105, USA
    Endocr Pract 18:78-84. 2012
    ..To review recent literature on the limitations of hemoglobin A(1c) (HbA(1c)) as a marker of glycemic control...
  16. ncbi request reprint Use of serum and plasma glucose measurements as a benchmark for improved hospital-wide glycemic control
    Andrew N Hoofnagle
    Department of Laboratory Medicine, University of Washington, Seattle, Washington, USA
    Endocr Pract 14:556-63. 2008
    ..To demonstrate the benefit of an institutionally implemented glucose control intervention based on serum and plasma glucose values in the acute inpatient setting...
  17. ncbi request reprint Implementing an intravenous insulin protocol in your practice: practical advice to overcome clinical, administrative, and financial barriers
    Janet L Kelly
    University of Washington Medical Center, School of Pharmacy, Division of Metabolism, Endocrinology, and Nutrition, University of Washington, Seattle, WA, USA
    Semin Thorac Cardiovasc Surg 18:346-58. 2006
    ....
  18. ncbi request reprint Insulin analogues
    Irl B Hirsch
    Department of Medicine, University of Washington School of Medicine, Seattle, WA 98195 6176, USA
    N Engl J Med 352:174-83. 2005
  19. doi request reprint Impact of prandial plus basal vs basal insulin on glycemic variability in type 2 diabetic patients
    Irl B Hirsch
    University of Washington Medical Center Roosevelt, 4225 Roosevelt Way NE, Ste 101 Box 354691, Seattle, WA 98105, USA
    Endocr Pract 15:343-8. 2009
    ....
  20. doi request reprint Animal insulin therapy induces a biased insulin antibody response that persists for years after introduction of human insulin
    Shilpa Oak
    Department of Medicine, University of Washington, Seattle, WA, USA
    Acta Diabetol 47:131-5. 2010
    ..0001). We conclude that IA binding level and epitope specificity are biased by treatment with animal insulin. This bias remains for over 20 years after animal insulin treatment is terminated...
  21. doi request reprint Patient factors associated with glucagonlike peptide 1 receptor agonist use with and without insulin
    Irl B Hirsch
    University of Washington School of Medicine, Seattle, Washington, USA
    Endocr Pract 17:707-16. 2011
    ..To evaluate both the patient factors associated with the initiation of exenatide and the real-world treatment patterns of exenatide use with and without insulin...
  22. ncbi request reprint The relationship of depressive symptoms to symptom reporting, self-care and glucose control in diabetes
    Paul S Ciechanowski
    Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98195, USA
    Gen Hosp Psychiatry 25:246-52. 2003
    ..Because of their association with clinical aspects of diabetes care such as diabetes symptom reporting and adherence to diabetes self-care, depressive symptoms are important to recognize in treating patients with diabetes...
  23. doi request reprint Clinical review: Realistic expectations and practical use of continuous glucose monitoring for the endocrinologist
    Irl B Hirsch
    University of Washington School of Medicine, Seattle, Washington 98105, USA
    J Clin Endocrinol Metab 94:2232-8. 2009
    ..Real-time continuous glucose monitoring (CGM) has been available for type 1 diabetes for several years. This paper is a status report on our early experiences with this next technology...
  24. ncbi request reprint Isn't this just bedtime snacking? The potential adverse effects of night-eating symptoms on treatment adherence and outcomes in patients with diabetes
    Shereen A Morse
    Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA 98195 6560, USA
    Diabetes Care 29:1800-4. 2006
    ..Psychosocial variables and emotional triggers may be associated with these behaviors. In patients with diabetes, such behaviors may lead to glucose dysregulation and contribute to obesity and complications...
  25. doi request reprint Inpatient management of adults and children with type 1 diabetes
    David M Tridgell
    Division of Metabolism, Endocrinology and Nutrition, University of Washington, 1959 NE Pacific Street, Box 356426, Seattle, WA 98195, USA
    Endocrinol Metab Clin North Am 39:595-608. 2010
    ..This article focuses on inpatient and perioperative insulin management of stable, nonketotic, nonpregnant adults and children with type 1 diabetes. These principles can also be applied to patients with steroid-induced hyperglycemia...
  26. ncbi request reprint Treatment of patients with severe insulin deficiency; what we have learned over the past 2 years
    Irl B Hirsch
    Diabetes Care Center and the Department of Medicine, University of Washington School of Medicine, 1959 NE Pacific, UW Mailbox 356176, Seattle, WA 98195 6176, USA
    Am J Med 116:17S-22S. 2004
    ..Newer insulin analogues, improved devices for home glucose monitoring, and pulmonary inhaled insulin are other innovations that promise improvement of hemoglobin A(1c) levels...
  27. ncbi request reprint Effect of insulin therapy on nonglycemic variables during acute illness
    Irl B Hirsch
    University of Washington School of Medicine, Seattle, Washington, USA
    Endocr Pract 10:63-70. 2004
    ..To review the possible mechanisms for the reported clinical finding of better outcomes for hospitalized and critically ill patients as the result of improved metabolic control...
  28. ncbi request reprint Assessment of therapy with continuous subcutaneous insulin infusion in an academic diabetes clinic
    Justen W Rudolph
    Department of Medicine, Division of Metabolism, Endocrinology, and Nutrition, University of Washington School of Medicine, Seattle, Washington, USA
    Endocr Pract 8:401-5. 2002
    ..To assess the results of continuous subcutaneous insulin infusion (CSII) therapy in patients with type 1 diabetes mellitus, especially relative to glycemic control and rate of discontinuation of insulin pump therapy...
  29. ncbi request reprint Glycemic variability: it's not just about A1C anymore!
    Irl B Hirsch
    University of Washington Medical Center, Seattle, Washington 98105, USA
    Diabetes Technol Ther 7:780-3. 2005
  30. ncbi request reprint Optimal initiation of insulin in type 2 diabetes
    Irl B Hirsch
    University of Washington, University of Washington Medical Center, Seattle, Washington, USA
    MedGenMed 7:49. 2005
    ..In addition to A1C, a patient's age, lifestyle, competence, personal preferences, and comorbidities can be used to help determine the choice of insulin therapy...
  31. ncbi request reprint Arguments against the use of inhaled insulin
    Irl B Hirsch
    University of Washington School of Medicine, Seattle, Washington 98105, USA
    Diabetes Technol Ther 9:S111-4. 2007
  32. ncbi request reprint Piecing the puzzle together: ACCORDing to whom?
    Irl B Hirsch
    University of Washington School of Medicine Roosevelt, 4225 Roosevelt Avenue Northeast, Suite 101, Seattle, Washington 98105, USA
    J Clin Endocrinol Metab 93:1161-3. 2008
  33. ncbi request reprint Sepsis and glycemia: read the fine print!
    Irl B Hirsch
    Division of Metabolism, Endocrinology and Nutrition, University of Washington School of Medicine, Seattle, Washington 98195 4691, USA
    Endocr Pract 14:389-90. 2008
  34. ncbi request reprint The rationale and management of hyperglycemia for in-patients with cardiovascular disease: time for change
    Dace L Trence
    Division of Metabolism, Endocrinology, and Nutrition, University of Washington School of Medicine, Seattle, Washington 98195 6176, USA
    J Clin Endocrinol Metab 88:2430-7. 2003
    ..v. and s.c. insulin. Although there are several appropriate options for both of these routes of administration, it is critical that all caregivers involved in this population's care are knowledgeable about insulin strategies...
  35. ncbi request reprint Management of diabetes and hyperglycemia in hospitals
    Stephen Clement
    Department of Endocrinology, Georgetown University Hospital, Washington, DC 20007, USA
    Diabetes Care 27:553-91. 2004
  36. ncbi request reprint Blood glucose monitoring technology: translating data into practice
    Irl B Hirsch
    The University of Washington Medical Center, Seattle, Washington, USA
    Endocr Pract 10:67-76. 2004
    ..To describe how blood glucose software downloading has been successfully incorporated into a clinical practice by focusing on key data--frequency of testing, blood glucose averages, and standard deviations...
  37. ncbi request reprint The burden of diabetes (care)
    Irl B Hirsch
    Department of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, USA
    Diabetes Care 26:1613-4. 2003
  38. doi request reprint Practical aspects of real-time continuous glucose monitoring
    Lisa K Gilliam
    University of Washington Medical Center, Seattle, Washington 98195 7710, USA
    Diabetes Technol Ther 11:S75-82. 2009
    ..In this review, we will discuss the practical benefits and challenges of rt-CGM use, in order to better educate care providers as to which of their patients might actually benefit from this technology...
  39. pmc The contribution of malglycemia to mortality among allogeneic hematopoietic cell transplant recipients
    Marilyn J Hammer
    Department of Biobehavioral Nursing and Health Systems, University of Washington, Seattle, Washington, USA
    Biol Blood Marrow Transplant 15:344-51. 2009
    ..The applicability of these findings to other situations and whether correcting malglycemia in HCT can lead to reductions in mortality remain to be determined...
  40. doi request reprint High titers of autoantibodies to glutamate decarboxylase in type 1 diabetes patients: epitope analysis and inhibition of enzyme activity
    Christiane S Hampe
    Department of Medicine, University of Washington, Seattle, Washington
    Endocr Pract 19:663-8. 2013
    ..Conclusions: Based on our findings, we suggest that neurological disorders with high GAD65Ab titers are more frequent in type 1 diabetes patients than currently recognized. ..
  41. pmc Insulin degludec/insulin aspart administered once daily at any meal, with insulin aspart at other meals versus a standard basal-bolus regimen in patients with type 1 diabetes: a 26-week, phase 3, randomized, open-label, treat-to-target trial
    Irl B Hirsch
    University of Washington Medical Center Roosevelt, Seattle, WA, USA
    Diabetes Care 35:2174-81. 2012
    ..To evaluate efficacy and tolerability of a co-formulation of insulin degludec and insulin aspart (IDegAsp) with insulin aspart (IAsp) at other meals compared with basal-bolus therapy using insulin detemir (IDet) and IAsp...
  42. doi request reprint Clinical application of emerging sensor technologies in diabetes management: consensus guidelines for continuous glucose monitoring (CGM)
    Irl B Hirsch
    Department of Medicine, University of Washington Medical Center Roosevelt, Seattle, Washington 98105, USA
    Diabetes Technol Ther 10:232-44; quiz 245-6. 2008
    ..Finally, researchers, manufacturers, payers, and advocacy groups must join forces on the policy level to create an environment conducive to managing continuous data, measuring outcomes, and formalizing best practices...
  43. pmc Kidney disease and increased mortality risk in type 2 diabetes
    Maryam Afkarian
    Kidney Research Institute and Division of Nephrology, Department of Medicine, University of Washington, Seattle, WA 98014, USA
    J Am Soc Nephrol 24:302-8. 2013
    ..2%-29.6%) when further adjusted. We observed similar patterns for cardiovascular and noncardiovascular mortality. In conclusion, those with kidney disease predominantly account for the increased mortality observed in type 2 diabetes...
  44. ncbi request reprint Outpatient insulin therapy in type 1 and type 2 diabetes mellitus: scientific review
    Dawn E DeWitt
    Division of General Internal Medicine, Department of Medicine, University of Washington, Seattle, USA
    JAMA 289:2254-64. 2003
    ..The key to effective insulin therapy is an understanding of principles that, when implemented, can result in improved diabetes control...
  45. ncbi request reprint The changing faces of diabetes
    Irl B Hirsch
    Department of Medicine, University of Washington, 1959 NE Pacific Street, Box 356176, Seattle, WA 98195 6176, USA
    Prim Care 30:499-510. 2003
    ..Clearly, new classifications will be required as we learn more about the different types of diabetes...
  46. ncbi request reprint Evidence-based management: using serial firm trials to improve diabetes care quality
    Harold I Goldberg
    University of Washington, Seattle, USA
    Jt Comm J Qual Improv 28:155-66. 2002
    ..The effectiveness of the "computerized firm system" approach to chronic disease CQI was examined, with diabetes as the focus of a 5-year case study...