Targeted Glycemic Control for Patients with Type 2 Diabetes Mellitus in the Acute Care Setting

Publication date: Available online 8 February 2018 Source:Canadian Journal of Diabetes Author(s): Ali Pourmand, Maryann Mazer-Amirshahi, Amy Caggiula, Aria Nawab, Christopher Payette, Samuel Johnson Diabetes mellitus and complications arising from the disease are a leading cause of morbidity and mortality worldwide. With increasing prevalence over the last 50 years, and an estimated 20% of healthcare spending dedicated to the disease, diabetes is considered by many to be a true public health emergency. Several protocols and management options exist to maximize glycemic control in the ambulatory setting, but the optimal glucose level among critically and non-critically ill inpatients is still debated. This review article examines the evidence behind different degrees of glycemic control across a variety of hospital settings and clinical scenarios. Patients presenting to the emergency department found to be hyperglycemic pose additional management challenges for clinicians. In this setting, no consensus exists for optimal serum glucose level and safe discharge parameters.
Source: Canadian Journal of Diabetes - Category: Endocrinology Source Type: research