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Management of hyperglycemia in hospitalized patients in non-critical care setting: an endocrine society clinical practice guideline.
J Clin Endocrinol Metab. 2012 Jan; 97(1):16-38.JC

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. We provide 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.

Authors+Show Affiliations

Emory University School of Medicine, Atlanta, Georgia 30322, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Practice Guideline

Language

eng

PubMed ID

22223765

Citation

Umpierrez, Guillermo E., et al. "Management of Hyperglycemia in Hospitalized Patients in Non-critical Care Setting: an Endocrine Society Clinical Practice Guideline." The Journal of Clinical Endocrinology and Metabolism, vol. 97, no. 1, 2012, pp. 16-38.
Umpierrez GE, Hellman R, Korytkowski MT, et al. Management of hyperglycemia in hospitalized patients in non-critical care setting: an endocrine society clinical practice guideline. J Clin Endocrinol Metab. 2012;97(1):16-38.
Umpierrez, G. E., Hellman, R., Korytkowski, M. T., Kosiborod, M., Maynard, G. A., Montori, V. M., Seley, J. J., & Van den Berghe, G. (2012). Management of hyperglycemia in hospitalized patients in non-critical care setting: an endocrine society clinical practice guideline. The Journal of Clinical Endocrinology and Metabolism, 97(1), 16-38. https://doi.org/10.1210/jc.2011-2098
Umpierrez GE, et al. Management of Hyperglycemia in Hospitalized Patients in Non-critical Care Setting: an Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2012;97(1):16-38. PubMed PMID: 22223765.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of hyperglycemia in hospitalized patients in non-critical care setting: an endocrine society clinical practice guideline. AU - Umpierrez,Guillermo E, AU - Hellman,Richard, AU - Korytkowski,Mary T, AU - Kosiborod,Mikhail, AU - Maynard,Gregory A, AU - Montori,Victor M, AU - Seley,Jane J, AU - Van den Berghe,Greet, AU - ,, PY - 2012/1/7/entrez PY - 2012/1/10/pubmed PY - 2012/3/1/medline SP - 16 EP - 38 JF - The Journal of clinical endocrinology and metabolism JO - J Clin Endocrinol Metab VL - 97 IS - 1 N2 - 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. We provide 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. SN - 1945-7197 UR - https://www.unboundmedicine.com/medline/citation/22223765/Management_of_hyperglycemia_in_hospitalized_patients_in_non_critical_care_setting:_an_endocrine_society_clinical_practice_guideline_ L2 - https://academic.oup.com/jcem/article-lookup/doi/10.1210/jc.2011-2098 DB - PRIME DP - Unbound Medicine ER -