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