Management of Hyperglycemia in Hospitalized Patients in Non-Critical Care Settings: An Endocrine Society Clinical Practice Guideline-Management of Hyperglycemia in Hospitalized Patients in Non-Critical Care Settings: An Endocrine Society Clinical Practice Guideline

Management of Hyperglycemia in Hospitalized Patients in Non-Critical Care Settings: An Endocrine Society Clinical Practice Guideline

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Video Transcription

Video Summary

The video discusses key points from a set of guidelines on inpatient glycemic management. The panel addressed various topics related to glycemic control in adult patients admitted to the hospital. One suggestion was to treat hyperglycemia prior to surgery to maintain blood glucose levels below 180 during the perioperative and post-operative period. The use of continuous glucose monitoring (CGM) in high-risk patients, such as those with hypoglycemia unawareness, was also supported, but its implementation should be guided by hospital policies and education for nursing personnel. The panel recommended providing inpatient diabetes education as part of the discharge planning process, which should be delivered by diabetes care and education specialists or healthcare providers with expertise in insulin pump therapy. The use of non-insulin therapies in the hospital, specifically DPP-4 inhibitors, may be considered for patients with well-controlled diabetes who are on minimal amounts of insulin. However, more data in this area is required. The panel also highlighted the challenges of conducting randomized trials in the inpatient setting and emphasized the need for further research. Overall, the guidelines provide recommendations and considerations for glycemic control in the hospital, but further research is needed in certain areas. No specific credits or acknowledgments were mentioned in the summary.

Keywords

inpatient glycemic management

glycemic control

adult patients

hospital guidelines

hyperglycemia

surgery

blood glucose levels

continuous glucose monitoring

diabetes education

discharge planning

insulin pump therapy

non-insulin therapies


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