Diabetes Mellitus and Hyperglycemia Management in the Hospitalized Patient

Patricia A. Mackey, Michael D. Whitaker

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Diabetes mellitus and hyperglycemia are common in hospitalized patients. Uncontrolled hyperglycemia during hospitalization is associated with poor outcomes. A glucose goal of 140-180 mg/dL is recommended. Scheduled subcutaneous insulin with basal, prandial, and correction components is preferred for treating diabetes in non-critically ill patients. The pharmacodynamics of insulins differ, and the type of insulin used should match daily glucose excursions. Varying hospital settings may warrant using a particular insulin type to achieve optimal glucose control. Herein we describe approaches to address hyperglycemia in the hospitalized patient on the basis of insulin pharmacodynamic profiles.

Original languageEnglish (US)
Pages (from-to)531-537
Number of pages7
JournalJournal for Nurse Practitioners
Volume11
Issue number5
DOIs
StatePublished - May 1 2015

Keywords

  • Basal-bolus insulin
  • Correction insulin
  • Diabetes mellitus
  • Hospitalized patient
  • Hyperglycemia

ASJC Scopus subject areas

  • Advanced and Specialized Nursing

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