Approaches & Tools
Management of Hyperglycemia in the Non ICU Setting: Understanding the Mechanisms of Hyperglycemia for the Inpatient with Diabetes
Inpatient Glycemic Management Patients with Non-Critical Illness
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In this section you will find:
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Slide presentation
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Reference list and key readings
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Selected published literature
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Protocols and Order Sets for the management of hyperglycemia for the inpatient in the non-ICU setting
Key Points:
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Hyperglycemia is associated with poor outcomes in non-critically ill patients.
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Many non-critically ill patients may benefit from management similar to that of the ICU setting.
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While some institutions have successfully implemented insulin infusion safely on general wards with modifications (including intensive staff education and adequate staff support), the most common method to administer insulin in the non-ICU setting is use of scheduled subcutaneous insulin administration
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The use of sliding scale insulin is to be discouraged as it is a “reactive” and nonphysiologic approach to glycemic control.
Finally:
The use of sliding scale insulin is to be discouraged as it is a “reactive” and nonphysiologic approach to glycemic control.
