
Patricia Juang
· Associate Clinical ProfessorUniversity of California, San Diego · Endocrinology and Metabolism
Active 2013–2025
About
Patricia Juang is an Associate Clinical Professor of Medicine at UC San Diego. Her research focuses on inpatient diabetes management, electronic health record-based decision-making support, and glycemic control. She has contributed to the review of intravenous and subcutaneous electronic glucose management systems and has published work on reducing hypoglycemia rates in hospital settings. Her publications also include studies on insulin sensitivity, reproductive medicine, and ophthalmology. Juang's work involves applying clinical and translational research to improve inpatient care and diabetes management practices.
Research topics
- Medicine
- Intensive care medicine
- Computer Science
- Internal medicine
- Nursing
- Medical emergency
- Database
Selected publications
Inpatient Insulin Dosing Calculators
Diabetes Spectrum · 2025-08-01 · 2 citations
articleOpen accessInpatient insulin calculators offer the potential to improve blood glucose management, simplify workflow, and address the growing demand for inpatient diabetes care. Implementation of computerized insulin protocols remains a challenge at individual institutions.
Electronic Health Record–Based Decision-Making Support in Inpatient Diabetes Management
Current Diabetes Reports · 2022 · 20 citations
- Medicine
- Intensive care medicine
- Medical emergency
PURPOSE OF REVIEW: This review discusses ways in which the electronic health record (EHR) can offer clinical decision support (CDS) tools for management of inpatient diabetes and hyperglycemia. RECENT FINDINGS: The use of electronic order sets can help providers order comprehensive basal bolus insulin regimens that are consistent with current guidelines. Order sets have been shown to reduce insulin errors and hypoglycemia rates. They can also help set glycemic targets, give hemoglobin A1C reminders, guide weight-based dosing, and match insulin regimen to nutritional profile. Glycemic management dashboards allow multiple variables affecting blood glucose to be shown in a single view, which allows for efficient evaluation of glucose trends and adjustment of insulin regimen. With the use glycemic management dashboards, active surveillance and remote management also become feasible. Hypoglycemia prevention and management are another part of inpatient diabetes management that is enhanced by EHR CDS tools. Furthermore, diagnosis and management of diabetic ketoacidosis and hyperglycemia hyperosmolar state are improved with the aid of EHR CDS tools. The use of EHR CDS tools helps improve the care of patients with diabetes and hyperglycemia in the inpatient hospital setting.
Current Diabetes Reports · 2020 · 20 citations
- Computer Science
- Medicine
- Intensive care medicine
Practical Use of Insulin Pumps and Continuous Glucose Monitoring in the Hospital
2019-01-01
book-chapterPreview
How Low Can You Go? Reducing Rates of Hypoglycemia in the Non-critical Care Hospital Setting
Current Diabetes Reports · 2017-07-28 · 18 citations
reviewSenior authorImpact of a Hypoglycemia Reduction Bundle and a Systems Approach to Inpatient Glycemic Management
Endocrine Practice · 2014-12-23 · 53 citations
articleFigure 3, Kaplan-Meier Curve of Time to Secondary Endpointa in the PROactive Study
2013-09-04
article1st authorCorrespondingThe Journal of Sexual Medicine · 2013-11-06 · 36 citations
article1st authorINTRODUCTION: Testosterone (T) administration to men increases T, estradiol (E2), dihydrotestosterone (DHT), and fat-free mass (FFM), and decreases fat mass (FM) but does not consistently improve insulin sensitivity (IS). AIM: The aim of this study was to examine the effects of T administration in obese, nondiabetic men on body composition and IS, and to determine if inhibition (i) of metabolism of T to E2 with anastrazole or to DHT with dutasteride alters these effects. METHODS: This was a 98-day randomized, double-blind, parallel group, placebo-controlled trial of 57 men, 24-51 year, free T in the lower 25% of normal range (<0.33 nmol/L), body mass index ≥ 30.0 kg/m(2). Subjects were randomized to one of four groups: (i) placebo: gel, pills, and injection; (ii) T/DHT/iE2: T gel, anastrazole, and acyline (gonadotropin releasing-hormone antagonist to suppress endogenous T); (iii) T/iDHT/E2: T gel, dutasteride, and acyline; (iv) T/DHT/E2: T gel, placebo pills, and acyline. MAIN OUTCOME MEASURES: Main outcome measures are insulin sensitivity as percent change (%Δ) in glucose disposal rates (GDR) from a two-step euglycemic clamp (GDR1 and 2), and %FM and %FFM by dual X-ray absorptiometry scan. RESULTS: Insulin Sensitivity: %Δ GDR1 differed across groups (P = 0.02, anova) and was significantly higher in the dutasteride (T/iDHT/E2) compared with the placebo and T gel (T/DHT/E2) groups. %ΔGDR2 was higher in the dutasteride (T/iDHT/E2) compared with the anastrazole (T/DHT/iE2) group. Body Composition: T gel alone (T/DHT/E2) or with dutasteride (T/iDHT/E2) significantly increased %FFM (P < 0.05) and decreased %FM (P < 0.05). There was no change in %FFM or %FM after placebo or anastrazole (T/DHT/iE2). CONCLUSIONS: The combination of T plus dutasteride improved body composition and IS while T alone improved body composition but not IS, suggesting that when T is administered to men, reduction to DHT attenuates the beneficial effects of aromatization to E2 on IS but not body composition.
Figure 5, Change in Mean A1C Over 3 Month Treatment Period
2013-09-04
article1st authorCorresponding2013-09-04
article1st authorCorresponding
Frequent coauthors
- 26 shared
Robert R. Henry
Medical University of South Carolina
- 6 shared
Andrea D. Coviello
Mayo Clinic in Florida
- 4 shared
Susan Peng
- 4 shared
Karen L. Herbst
The Roxbury Institute
- 4 shared
Kristen Kulasa
- 4 shared
Robert R. Henry
- 2 shared
Aaron S. Field
University of Wisconsin–Madison
- 2 shared
Ed Fink
Center for Innovation
Labs
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