000 02408nam a22004337a 4500
008 180619s20182018 xxu||||| |||| 00| 0 eng d
022 _a1499-2671
024 _a10.1016/j.jcjd.2018.01.015 [doi]
024 _aS1499-2671(17)30807-9 [pii]
040 _aOvid MEDLINE(R)
099 _a29807752
245 _aTargeted Glycemic Control for Adult Patients with Type 2 Diabetes Mellitus in the Acute Care Setting. [Review]
251 _aCanadian Journal of Diabetes. 42(6):671-677, 2018 Dec.
252 _aCan. j. diabetes. 42(6):671-677, 2018 Dec.
253 _aCanadian journal of diabetes
260 _c2018
260 _fFY2019
266 _d2018-06-19
269 _fFY2018
520 _aCopyright (c) 2018 Diabetes Canada. Published by Elsevier Inc. All rights reserved.
520 _aDiabetes 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.
546 _aEnglish
650 _a*Blood Glucose/me [Metabolism]
650 _a*Diabetes Mellitus, Type 2/bl [Blood]
650 _a*Diabetes Mellitus, Type 2/dt [Drug Therapy]
650 _a*Hospitals
650 _aAcute Disease
650 _aAdult
650 _aAmbulatory Care
650 _aHumans
651 _aMedStar Washington Hospital Center
656 _aEmergency Medicine
657 _aJournal Article
657 _aReview
700 _aMazer-Amirshahi, Maryann
790 _aCaggiula A, Johnson S, Mazer-Amirshahi M, Nawab A, Payette C, Pourmand A
856 _uhttps://dx.doi.org/10.1016/j.jcjd.2018.01.015
_zhttps://dx.doi.org/10.1016/j.jcjd.2018.01.015
942 _cART
_dArticle
999 _c3371
_d3371