Inpatient Management of Hyperglycemia and Diabetes.
Uncontrolled hyperglycemia in hospitalized patients with or without a previous diagnosis of diabetes is associated with adverse outcomes and longer lengths of stay. In addition to the increasing preva- lence of diabetes in the United States, many patients without preexisting diabetes experience stress-related hyperglycemia during hospitaliza- tion.1 It is estimated that one-third of hospitalized patients will experi- ence significant hyperglycemia.2 The cost associated with hospitalization for patients with diabetes accounts for half of all health care expendi- tures for this disease.3–5 Controlling glucose levels for inpatients should be a priority for hospitals and practic- ing physicians. Recent guidelines for optimal glucose goals in hospitalized patients have been developed by the American Association of Clinical Endocrinologists (AACE) and the American Diabetes Association (ADA).
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