Endocrine Society GUIDELINES Bundle (free trial)

Hyperglycemia

Endocrine Society GUIDELINES Apps brought to you free of charge courtesy of Guideline Central. All of these titles are available for purchase on our website, GuidelineCentral.com. Enjoy!

Issue link: http://eguideline.guidelinecentral.com/i/1483748

Contents of this Issue

Navigation

Page 1 of 9

2 Key Points Essential Points ➤ Continuous glucose monitoring systems can effectively achieve glycemic targets and reduce hypoglycemia in hospitalized patients. ➤ Patients receiving glucocorticoid therapy or enteral nutrition are at high risk for hyperglycemia and require scheduled insulin therapy in the hospital. ➤ Patients using insulin pump therapy before hospital admission may self- manage these devices with oversight by hospital personnel. ➤ Diabetes self-management education to hospitalized patients can promote improved glycemic control with reductions in the risk for hospital readmission. ➤ Patients with diabetes scheduled for elective surgery may have improved postoperative outcomes when pre-operative hemoglobin A1c (HbA1c) is ≤8% and when blood glucose (BG) values in the immediate pre-operative period are <180 mg/dL. ➤ Providing pre-operative carbohydrate containing beverages to patients with known diabetes is not recommended. ➤ Patients with newly recognized hyperglycemia or well-managed diabetes on non-insulin therapy may be treated with correctional insulin alone as initial therapy at hospital admission. ➤ Scheduled insulin therapy is preferred for patients experiencing persistent blood glucose values >180 mg/dL. ➤ Dipeptidyl peptidase inhibitors can be used in combination with correction insulin in selected patients with type 2 diabetes who have milder degrees of hyperglycemia provided there are no contraindications to the use of these agents. Abbreviations BBI, basal bolus insulin; BG, blood glucose; CC, carbohydrate counting ; CHO, carbohydrate; CGM, continuous glucose monitoring ; DPP4i, dipeptidyl-peptidase-4 inhibitors; ES, Endocrine Society; GCs, glucocorticoids; HbA1c, hemoglobin A1c; LOS, length of stay; NPH, neutral protamine Hagedorn; NPO, nil per os; POC-BG, point-of-care blood glucose; SC, subcutaneous; SSI, sliding scale insulin; T1D, type 1 diabetes; T2D, type 2 diabetes

Articles in this issue

Archives of this issue

view archives of Endocrine Society GUIDELINES Bundle (free trial) - Hyperglycemia