Management of hyperglycemia in hospitalized patients in non-critical care setting: an endocrine society clinical practice guideline.

By G. Umpierrez, Richard Hellman, M. Korytkowski, M. Kosiborod, G. Maynard, Victor M. Montori, J. Seley, G. Van den Berghe. Journal of Clinical Endocrinology and Metabolism, 2012

1,041 citations recorded by the source corpus.

OBJECTIVE The aim was to formulate practice guidelines on the management of hyperglycemia in hospitalized patients in the non-critical care setting. PARTICIPANTS The Task Force was composed of a chair, selected by the Clinical Guidelines Subcommittee of The Endocrine Society, six additional experts, and a methodologist. EVIDENCE This evidence-based guideline was developed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system to describe both the strength of recommendations and the quality of evidence. CONSENSUS PROCESS One group meeting, several conference calls, and e-mail communications enabled consensus. Endocrine Society members, American Diabetes Association, American Heart Association, American Association of Diabetes Educators, European Society of Endocrinology, and the Society of Hospital Medicine reviewed and commented on preliminary drafts of this guideline. CONCLUSIONS Hyperglycemia is a common, serious, and costly health care problem in hospitalized patients. Observational and randomized controlled studies indicate that improvement in glycemic control results in lower rates of hospital complications in general medicine and surgery patients. Implementing a standardized sc insulin order set promoting the use of scheduled basal and nutritional insulin therapy is a key intervention in the inpatient management of diabetes. We provide recommendations for practical, achievable, and safe glycemic targets and describe protocols, procedures, and system improvements required to facilitate the achievement of glycemic goals in patients with hyperglycemia and diabetes admitted in non-critical care settings.

Subfields: Endocrinology, Diabetes and Metabolism

View Paper: https://www.semanticscholar.org/paper/f6e37d892cac20d33ecb7f808ada7f6ca907772a

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Citations in the corpus

Strategies to Prevent Surgical Site Infections in Acute Care Hospitals: 2014 Update (2014, background): “Measure the percentage of procedures for which serum glucose is 180 mg/dL or lower within 18– 24 hours after anesthesia end time for all cardiac surgery patients.(60,61,100) i.”
Stress hyperglycemia: an essential survival response! (2013, neutral): “Indeed, as recently as 2012, the Endocrine Society Clinical Practice Guideline on the management of hyperglycemia in hospitalized patients stated that ‘observational and randomized controlled studies indi cate that improvement in glycemic control results in lower rates of hospital complications’ and”
ESPEN guidelines on chronic intestinal failure in adults. (2016, background): “5%) and on-going review of treatment to prevent hypoglycaemia [101,102].”