17
Management of Diabetes Away From Home – in Hospitals
and Long-term Care Facilities
➤ In patients aged 65 years and over with diabetes in hospitals or nursing
homes, ES recommends establishing clear targets for glycemia
at 100–140 mg/dL (5.55–7.77 mmol/L) fasting and 140–180 mg/dL
(7.77–10 mmol/L) postprandial while avoiding hypoglycemia. (1|⊕⊕
)
Technical Remark: An explicit discharge plan should be developed to re-establish
long-term glycemic treatment targets and glucose-lowering medications as the patient
transitions to posthospital care.
➤ In patients aged 65 years and older with diabetes and a terminal illness or
severe comorbidities, ES recommends simplifying diabetes management
strategies. (1|⊕
)
➤ In patients aged 65 years and older without diagnosed diabetes, ES
suggests routine screening for HbA1c during admission to the hospital to
ensure detection and treatment where needed. (2|⊕⊕
)
