Inpatient Hyperglycemia

More documents

Recommendations

Info

Case Presentation:‣ 48 y/o male with an 8 yr history of DM admitted 3day history of fever, cough, and RLL pneumonia onchest x-ray. Previously treated with metformin andsulfonylurea.‣ Lab: BG 264 mg/dL, creatinine 1.6 mg/dL, A1C:8.4%.Given this patient’s history and laboratory values, what is thebest treatment option for glycemic management?1. Continue oral antidiabetic agents?2. Sliding-scale regular insulin?3. Split-mixed regimen – NPH + Regular insulin?4. Basal bolus regimen – long + rapid acting analogs?
Case Presentation:‣ 48 y/o male with a 3 cm thyroid nodule, s/p FNAsuspicious for papillary thyroid carcinoma. He has an8 yr history of T2DM treated with metformin andsulfonylurea.‣ Lab: BG 264 mg/dL, creatinine 1.6 mg/dL, A1C:8.4%, normal TSH and Free T4.Given this patient’s history and laboratory values, what is thebest treatment option for glycemic management?1. Continuous IV insulin drip?2. Sliding-scale regular insulin?3. Split-mixed regimen – NPH + Regular insulin?4. Basal bolus regimen – long + rapid acting analogs?
Page 1 and 2: Inpatient Management ofMedical and
Page 3: Clinical Guidelines for theManageme
Page 7 and 8: Point-of-Care BloodGlucose Readings
Page 9 and 10: Hyperglycemia*: A Common Comorbidit
Page 11 and 12: Epidemiology of Inpatient Hyperglyc
Page 13 and 14: Comparison of sensitivity and speci
Page 15 and 16: Patients (%)IGT and Undiagnosed T2D
Page 17 and 18: Epidemiology of Inpatient Hyperglyc
Page 19 and 20: Community Acquired Pneumonia Outcom
Page 21 and 22: Thirty Day Mortality and Inhospital
Page 23 and 24: AACE/ADA Target Glucose Levelsin No
Page 25 and 26: Recommendations for Managing Patien
Page 27 and 28: Management of Hyperglycemia andDiab
Page 29 and 30: Randomized Basal Bolus versus Slidi
Page 31 and 32: BG, mg/dLRabbit 2 Trial: Changes in
Page 33 and 34: Basal-Bolus Insulin Therapy vs Slid
Page 35 and 36: DEAN Trial: Changes in Mean DailyBl
Page 37 and 38: DEAN Trial: Insulin DoseThe mean to
Page 39 and 40: Summary of Univariate Analysesp-val
Page 41 and 42: Primary outcome:• Differences bet
Page 43 and 44: Basal Bolus Insulin Regimen‣ D/C
Page 45 and 46: Blood Glucose (mg/dL)Rabbit Surgery
Page 47 and 48: Hospital Complications: Primary out
Page 49 and 50: Basal-Bolus Insulin Therapy vs Slid
Page 51 and 52: RABBIT-2 vs. DEAN TrialsBasal Bolus
Page 53 and 54: Hypoglycemia: Univariate Analysesp-
Page 55 and 56:
Clinical Guidelines for the Managem
Page 57 and 58:
Insulin ActionBasal-PLUS Insulin Re
Page 59 and 60:
Discharge insulin AlgorithmDischarg
show all

Inpatient Hyperglycemia

Create successful ePaper yourself

Delete template?

Save as template?