Inpatient Diabetes Control: Rationale

Inpatient diabetes control: rationale.

This is the first of two articles on the Consensus Development Conference on Inpatient Diabetes Control, which was sponsored by the American College of Endocrinology and held in Washington, DC, 14 –15 December 2003. Donald Bergman (New York, NY), President of the American Association of Clinical Endocrinologists, suggested the importance of endocrinologists beginning “to partner . . . for pract...

Inpatient diabetes control: approaches to treatment.

Mechanisms of adverse effect of hyperglycemia Derek LeRoith (Bethesda, MD) and Irl Hirsch (Seattle, WA) discussed mechanisms by which metabolic control may improve outcomes. Both speakers reviewed physiological and cellular aspects of normal insulin action and glucose homeostasis and molecular aspects of insulin resistance in relation to situations of stress. Insulin has classic actions such as...

ACE/ADA Inpatient Diabetes and Glycemic Control Consensus Conference FINANCIAL IMPLICATIONS OF GLYCEMIC CONTROL: RESULTS OF AN INPATIENT DIABETES MANAGEMENT PROGRAM

From the 1Department of Internal Medicine, Division of Endocrinology, Diabetes and Metabolism, Brody School of Medicine at East Carolina University, and the 1,2Inpatient Diabetes Program and 2Care Management Department, Pitt County Memorial Hospital Greenville, North Carolina. Presented at the American College of Endocrinology and American Diabetes Association Consensus Conference, Washington, ...

American College of Endocrinology and American Diabetes Association Consensus Statement on Inpatient Diabetes and Glycemic Control*

American College of Endocrinology and American Diabetes Association consensus statement on inpatient diabetes and glycemic control.

D iabetes has reached epidemic proportions in the U.S., affecting in excess of 20 million individuals (more than one of every three persons). In addition, another 26% have impaired fasting glucose (1). Similarly, a disproportionate number of hospitalized patients have diabetes. Furthermore, for every two patients in the hospital with known diabetes, there may be an additional patient with newly...