Selecting a Treatment Regimen
ÎConsider obtaining an A1C on patients with diabetes admitted to the hospital if the result of testing in the previous 2-3 months is not available. (E)
ÎPatients with hyperglycemia in the hospital who do not have a prior diagnosis of diabetes should have appropriate plans for follow-up testing and care documented at discharge. (E)
Inpatient Glycemic Control Chart Antihyperglycemic Therapy Insulin recommended
(no greater than 180 mg/dL) Initiate IV insulin
Critically ill patients in the intensive care unit
IV insulin
Subcutaneous insulin Noncritically ill patients
(7.8 to 10 mmol/L) 140-180 mg/dL GOAL:
premeal < 140 mg/dL (7.8 mmol/L) random <180 mg/dL (10 mmol/L)
GOAL:
IV, intravenous 6
