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Targeted Glycemic Control for Adult Patients with Type 2 Diabetes Mellitus in the Acute Care Setting. [Review]

MedStar author(s):

Citation: Canadian Journal of Diabetes. 42(6):671-677, 2018 Dec.PMID: 29807752Institution: MedStar Washington Hospital CenterDepartment: Emergency MedicineForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Blood Glucose/me [Metabolism] | *Diabetes Mellitus, Type 2/bl [Blood] | *Diabetes Mellitus, Type 2/dt [Drug Therapy] | *Hospitals | Acute Disease | Adult | Ambulatory Care | HumansYear: 2018 ISSN:

1499-2671

Name of journal: Canadian journal of diabetesAbstract: Copyright (c) 2018 Diabetes Canada. Published by Elsevier Inc. All rights reserved.Diabetes mellitus and complications arising from the disease are a leading cause of morbidity and mortality worldwide. With increasing prevalence over the past 50 years and an estimated 20% of health-care spending dedicated to the disease, diabetes is considered by many to be a true public health emergency. Several protocols and management options exist to maximize glycemic control in the ambulatory setting, but the optimal glucose level in critically and noncritically ill inpatients is still debated. This review examines the evidence behind differing degrees of glycemic control across a variety of hospital settings and clinical scenarios. Patients presenting to the emergency department who are found to be hyperglycemic pose additional management challenges for clinicians. In this setting, no consensus exists for optimal serum glucose level and safe discharge parameters.All authors: Caggiula A, Johnson S, Mazer-Amirshahi M, Nawab A, Payette C, Pourmand AFiscal year: FY2019Fiscal year of original publication: FY2018Digital Object Identifier:

https://dx.doi.org/10.1016/j.jcjd.2018.01.015

Date added to catalog: 2018-06-19

Holdings ( 1 )
Title notes ( 3 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	29807752	Available		29807752

Diabetes mellitus and complications arising from the disease are a leading cause of morbidity and mortality worldwide. With increasing prevalence over the past 50 years and an estimated 20% of health-care spending dedicated to the disease, diabetes is considered by many to be a true public health emergency. Several protocols and management options exist to maximize glycemic control in the ambulatory setting, but the optimal glucose level in critically and noncritically ill inpatients is still debated. This review examines the evidence behind differing degrees of glycemic control across a variety of hospital settings and clinical scenarios. Patients presenting to the emergency department who are found to be hyperglycemic pose additional management challenges for clinicians. In this setting, no consensus exists for optimal serum glucose level and safe discharge parameters.

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