A practical and evidence-based approach to management of inpatient diabetes in non-critically ill patients and special clinical populations

Publication date: Available online 11 May 2016 Source:Journal of Clinical & Translational Endocrinology Author(s): Aidar R. Gosmanov Inpatient diabetes is a common medical problem encountered in up to 25-30% of hospitalized patients. Several prospective trials showed benefits of structured insulin therapy in managing inpatient hyperglycemia albeit in expense of high hypoglycemia risk. These approaches, however, remain underutilized in hospital practice. In this review, we discuss clinical applications and limitations of current therapeutic strategies. Considerations for glycemic strategies in special clinical populations are also discussed. We suggest that given the complexity of inpatient glycemic control factors, “one size fits all” approach should be modified to safe and less complex patient-centered evidence-based treatment strategies without compromising the treatment efficacy.
Source: Journal of Clinical and Translational Endocrinology - Category: Endocrinology Source Type: research