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Hospital Management of Diabetes

Holly Bashura, CRNP, Terri P. Kemmerer, RN, MS, CRNP, CDE, Sherita Golden, M.D., M.H.S.
Hospital Management of Diabetes is a topic covered in the Johns Hopkins Diabetes Guide.

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  • 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


Bashura, Holly, et al. "Hospital Management of Diabetes." Johns Hopkins Diabetes Guide, 2016. Johns Hopkins Guide, www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547064/all/Hospital_Management_of_Diabetes.
Bashura H, Kemmerer TP, Golden S. Hospital Management of Diabetes. Johns Hopkins Diabetes Guide. 2016. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547064/all/Hospital_Management_of_Diabetes. Accessed July 24, 2019.
Bashura, H., Kemmerer, T. P., & Golden, S. (2016). Hospital Management of Diabetes. In Johns Hopkins Diabetes Guide. Available from https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547064/all/Hospital_Management_of_Diabetes
Bashura H, Kemmerer TP, Golden S. Hospital Management of Diabetes [Internet]. In: Johns Hopkins Diabetes Guide. ; 2016. [cited 2019 July 24]. Available from: https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547064/all/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/all/Hospital_Management_of_Diabetes DB - Johns Hopkins Guide DP - Unbound Medicine ER -