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

Publication date: Available online 8 February 2018Source: Canadian Journal of DiabetesAuthor(s): Ali Pourmand, Maryann Mazer-Amirshahi, Amy Caggiula, Aria Nawab, Christopher Payette, Samuel JohnsonAbstractDiabetes mellitus and complications arising from the disease are a leading cause of morbidity and mortality worldwide. With increasing prevalence over the past 50 years and an estimated 20% of health-care 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 in critically and noncritically ill inpatients is still debated. This review examines the evidence behind differing degrees of glycemic control across a variety of hospital settings and clinical scenarios. Patients presenting to the emergency department who are 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.RésuméLe diabète sucré et les complications découlant de la maladie sont l'une des principales causes de morbidité et de mortalité dans le monde. Avec une prévalence croissante au cours des 50 dernières années, et 20% des dépenses de santé estimées consacrées à la maladie, le diabète est considéré par beaucoup comme une véritable urgence de santé publique. Plusieurs protocoles et options d...
Source: Canadian Journal of Diabetes - Category: Endocrinology Source Type: research