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

Guillermo E. Umpierrez, Richard Hellman, Mary T. Korytkowski, Mikhail Kosiborod, Gregory A. Maynard, Victor Manuel Montori, Jane J. Seley, Greet Van Den Berghe

Research output: Contribution to journalArticle

532 Citations (Scopus)

Abstract

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.Weprovide 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.

Original languageEnglish (US)
Pages (from-to)16-38
Number of pages23
JournalJournal of Clinical Endocrinology and Metabolism
Volume97
Issue number1
DOIs
StatePublished - Jan 2012

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Medical problems
Practice Guidelines
Hyperglycemia
Guidelines
Insulin
Teleconferencing
Consensus
Health care
Surgery
Medicine
Group Processes
Postal Service
Advisory Committees
Inpatients
Communication
Delivery of Health Care
Therapeutics

ASJC Scopus subject areas

  • Biochemistry
  • Clinical Biochemistry
  • Endocrinology
  • Biochemistry, medical
  • Endocrinology, Diabetes and Metabolism

Cite this

Management of hyperglycemia in hospitalized patients in non-critical care setting : An endocrine society clinical practice guideline. / Umpierrez, Guillermo E.; Hellman, Richard; Korytkowski, Mary T.; Kosiborod, Mikhail; Maynard, Gregory A.; Montori, Victor Manuel; Seley, Jane J.; Van Den Berghe, Greet.

In: Journal of Clinical Endocrinology and Metabolism, Vol. 97, No. 1, 01.2012, p. 16-38.

Research output: Contribution to journalArticle

Umpierrez, Guillermo E. ; Hellman, Richard ; Korytkowski, Mary T. ; Kosiborod, Mikhail ; Maynard, Gregory A. ; Montori, Victor Manuel ; Seley, Jane J. ; Van Den Berghe, Greet. / Management of hyperglycemia in hospitalized patients in non-critical care setting : An endocrine society clinical practice guideline. In: Journal of Clinical Endocrinology and Metabolism. 2012 ; Vol. 97, No. 1. pp. 16-38.
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