Recommendations: Diabetes Care in the Hospital (1)
Recommendations for the care of patients with diabetes who are admitted to the hospital1 are summarized on six slides Slide 1 of 6 As noted on this slide, patients with diabetes admitted to the hospital should have their diabetes clearly identified in the medical record (E) and an order for blood glucose monitoring, with results available to all members of the health care team (E) Hyperglycemia in the hospital can represent previously known diabetes, previously undiagnosed diabetes, or hospital-related hyperglycemia (fasting blood glucose ≥126 mg/dL or random blood glucose ≥200 mg/dL occurring during the hospitalization that reverts to normal after hospital discharge) An updated consensus statement by the American Association of Clinical Endocrinologists (AACE) and ADA2 forms the basis for the information in this section The management of hyperglycemia in the hospital has often been considered secondary in importance to the condition that prompted admission3 However, a body of literature now supports targeted glucose control in the hospital setting for potential improved clinical outcomes133References American Diabetes Association. Standards of medical care in diabetes—2013. Diabetes Care 2013;36(suppl 1):S45-S46. Clement S, Braithwaite SS, Magee MF, et al.; American Diabetes Association; Diabetes in Hospitals Writing Committee. Management of diabetes and hyperglycemia in hospitals. Diabetes Care 2004;27:553-591. Moghissi ES, Korytkowski MT, DiNardo M, et al.; American Association of Clinical Endocrinologists; American Diabetes Association. American Association of Clinical Endocrinologists and American Diabetes Association consensus statement on inpatient glycemic control. Diabetes Care 2009;32:1119-1131.