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Copyright © 2012 All rights reserved
Disclaimer
is Guideline attempts to define principles of practice that should produce high-quality patient care.
It focuses on the needs of primary care practice, but also is applicable to providers at all levels. is
Guideline should not be considered exclusive of other methods of care reasonably directed at obtaining
the same results. e ultimate judgment concerning the propriety of any course of conduct must be
made by the clinician aer consideration of each individual patient situation.
Neither IGC, the medical associations, nor the authors endorse any product or service associated with
the distributor of this clinical reference tool.
HYP06122f
Abbreviations
AC, before meals; BG, blood glucose; CII, continuous insulin infusion; ES, Endocrine Society;
EN, enteral nutrition; HbA1c, hemoglobin A1c; MNT, medical nutrition therapy; NPH,
neutral protamine Hagedorn; NPO, nothing by mouth; PN, parenteral nutrition; POC, point of
care; SSI, sliding scale insulin; subcut, subcutaneous
Source
Umpierrez GE, Hellman R, Korytkowski MT, Kosiborod M, Maynard GA, Montori VM,
Seley JJ, Van den Berghe G. Management of hyperglycemia in hospitalized patients in non-
critical care setting : an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab.
2012;97(1):16-38.
Grading System
Strength of
Recommendation
1 = strong 2 = weak
Quality of Evidence
⊕⊕⊕⊕
= high
⊕⊕⊕
= moderate
⊕⊕
= low
⊕
= very low
