Figure 1. Hyperglycemia – In-Hospital Management
POC testing for ≥ 24-48 h
Continue POC testing
AC & at bedtime if eating
q4-6h if NPO or continuous EN
Medical nutrition therapy Insulin only (by protocol)
Treatment
HbA1c
> 7.8 mmol/L
(140 mg/dL)
Critical care
Severe/persistent
hyperglycemia
Perioperative
Noncritical
care
EN or PN
CII
Basal/Bolus/Correction
Continue POC testing
Targets*
Fasting : < 7.8 mmol/L (140 mg/dL)
Random: < 10 mmol/L (180 mg/dL)
mg/dL = mmol/L × 18
Reassess if BG < 5.6 mmol/L (100 mg/dL)
or > 10 mmol/L (180 mg/dL)
* Subject to individual variation
Post-transition regimen
≥ 1 day before discharge
Patient & family
self-care instructions
(oral and written )
Discharge
Corticosteroids,
octreotide, EN or PN
History of diabetes
BG
> 7.8 mmol/L
(140 mg/dL)
