DM Inpatient

DM (in Hospitalized Patients) – Type 2/Type 1 – 4 questions will help you in deciding the DM treatment in Hospital:  1) Controlled/uncontrolled - last A1C –– Current glucose level  2) Fasting / Non-Fasting State at hospital 3) On Insulin / or oral medications at home 4) Risk of hypoglycemia or sensitivity to Insulin (CKD, low basal home insulin requirement, chronic pancreatitis or brittle DM)  Reference:     Glycemic Control in the ICU NEJM 2010 Management of Hyperglycemia in Hospitalized Patients in Non-Critical Care Setting: An Endocrine Society Clinical Practice Guideline JCEM 2012 Algorithm for the Management of Diabetes and Hyperglycemia in the Noncritical Care Setting. NEJM 2006 Hyperglycemia treatment for hospitalized patients eating a normal diet Up-To-Date Hyperglycemia treatment for hospitalized patients receiving nothing by mouth Up-To-Date Management of diabetes mellitus in hospitalized patients Up-To-Date Intensive Insulin Therapy for the Mnt. of Glycemic Control in Hospitalized Patients: ACPGuidlelines  Annals 2011 N Engl J Med 2006;355:1903-11  N Engl J Med 2006;355:1903-11      J Clin Endocrinol Metab 97: 16–38, 2012      J Clin Endocrinol Metab 97: 16–38, 2012