Management of diabetes and hyperglycemia in the hospital setting

Abstract

Diabetes mellitus is a disease commonly encountered in the hospital setting; however, management of glycemia in the hospitalized patient has been extremely variable over the past two decades. It has been well established that diabetes increases length of stay, complications, and mortality in the hospitalized patient. This chapter reviews the retrospective data which direct us to focus on glycemic management of inpatients. Prospective data follow and focus on specific glycemic targets and practices which have been under debate. Current inpatient glycemic targets have evolved over the past decade and have been refined based on the specific hospital setting. A review of glycemic targets in the critical care and noncritical care setting is explored.