Hospital Management of Hyperglycemia

Management of Hyperglycemia in the Hospital Setting

Copyright © 2006 Massachusetts Medical Society. A 53-year-old woman with asthma and multilobar pneumonia is admitted with respiratory failure. She is intubated and treated with antibiotics, albuterol, and methylprednisolone. A random blood glucose measurement obtained on admission shows a level of 183 mg per deciliter (10.2 mmol per liter). After 3 hours in the intensive care unit, she has a ca...

Inpatient hyperglycemia: Clinical management needs in teaching hospital*

The prevalence of hyperglycemia among hospitalized patients is 32%–38% [1]. Observational studies have demonstrated an increase in complications, hospital stay, and use of resources, despite 30% of these subjects not having a diagnosis of diabetes mellitus (DM) [1,2,4]. It is known that insulin plays an important role in the prevention of complications associated with hyperglycemia, and could b...

Management of diabetes and hyperglycemia in hospitals.

D iabetes increases the risk for disorders that predispose individuals to hospitalization, including coronary artery, cerebrovascular and peripheral vascular disease, nephropathy, infection, and lower-extremity amputations. The management of diabetes in the hospital is generally considered secondary in importance compared with the condition that prompted admission. Recent studies (1,2) have foc...

Management of Hyperglycemia in Diabetic Kidney Disease

the growing incidence and prevalence of diabetes has made a significant impact on the development of diabetic kidney disease (DKD) (1). DKD is among the most frequent complications of diabetes; indeed, diabetes accounts for ~50% of all cases of end-stage renal disease (ESRD) in developed countries (2). Patients often have comorbid diabetes and chronic kidney disease (CKD). Although intensive gl...

Inpatient hyperglycemia management: the voyage continues!