Johns Hopkins Diabetes Guide
Hospital Management of Diabetes
DEFINITION
- Goal of inpatient management: achieving a level of glycemic control that will improve patient outcomes, while reducing the risk of either hypoglycemia or iatrogenic diabetic ketoacidosis (DKA).
- In critically ill patients: 2015 ADA recommendations: intravenous (IV) insulin infusion to control hyperglycemia targeting 140 - 180 mg/dL (target < 110 mg/ dL is no longer recommended)[5].
- In non-critically ill patients: 2015 ADA recommendation: premeal target < 140 mg/dL, random BG < 180 mg/dL; if BG < 100, consider reassessing insulin regimen; if BG < 70, regimen should be modified.
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Last updated: May 28, 2016
Citation
Bashura, Holly, et al. "Hospital Management of Diabetes." Johns Hopkins Diabetes Guide, The Johns Hopkins University, 2016. Johns Hopkins Guides, www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547064/2.4/Hospital_Management_of_Diabetes.
Bashura H, Kemmerer TP, Golden S. Hospital Management of Diabetes. Johns Hopkins Diabetes Guide. The Johns Hopkins University; 2016. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547064/2.4/Hospital_Management_of_Diabetes. Accessed October 31, 2025.
Bashura, H., Kemmerer, T. P., & Golden, S. (2016). Hospital Management of Diabetes. In Johns Hopkins Diabetes Guide. The Johns Hopkins University. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547064/2.4/Hospital_Management_of_Diabetes
Bashura H, Kemmerer TP, Golden S. Hospital Management of Diabetes [Internet]. In: Johns Hopkins Diabetes Guide. The Johns Hopkins University; 2016. [cited 2025 October 31]. Available from: https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547064/2.4/Hospital_Management_of_Diabetes.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Hospital Management of Diabetes
ID - 547064
A1 - Bashura,Holly,CRNP
AU - Kemmerer,Terri,RN, MS, CRNP, CDE
AU - Golden,Sherita,M.D., M.H.S.
Y1 - 2016/05/28/
BT - Johns Hopkins Diabetes Guide
UR - https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547064/2.4/Hospital_Management_of_Diabetes
PB - The Johns Hopkins University
DB - Johns Hopkins Guides
DP - Unbound Medicine
ER -
