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The latest on inpatient glucose control

A diabetes expert explained where glycemic targets for hospital patients should be now and what may be coming next, including continuous glucose monitors.
https://diabetes.acponline.org/archives/2024/05/10/10.htm
10 May 2024

Mortality lower among COVID-19 patients taking sitagliptin

A retrospective case-control trial of Italian patients with type 2 diabetes who were given the dipeptidyl peptidase-4 inhibitor upon admission for COVID-19 found significant reductions in mortality and improvements in clinical outcomes.
https://diabetes.acponline.org/archives/2020/10/09/6.htm
9 Oct 2020

1 in 10 older inpatients with diabetes discharged with intensified medication regimen

Nearly half of those who had their diabetes medications intensified after hospitalization had already reached outpatient blood glucose goals or had limited life expectancy, according to a recent Veterans Health Administration study.
https://diabetes.acponline.org/archives/2020/04/10/8.htm
10 Apr 2020

Intensive treatment of hyperglycemia during ischemic stroke did not improve functional recovery

In patients with acute ischemic stroke and hyperglycemia, a target glucose level of 80 to 130 mg/dL was associated with more hypoglycemia and no difference in functional outcomes compared to a target of 80 to 179 mg/dL.
https://diabetes.acponline.org/archives/2019/08/09/6.htm
9 Aug 2019

Closed-loop systems may improve inpatient glycemic control over subcutaneous insulin delivery

Inpatients with type 2 diabetes who received automated closed-loop delivery of insulin spent more time in the target blood glucose range than those who received insulin subcutaneously, with no difference in rates of hypoglycemia.
https://diabetes.acponline.org/archives/2018/07/13/9.htm
13 Jul 2018

Liberal glucose control worked well for ICU patients with diabetes, study finds

ICU patients who were given insulin only when glucose exceeded 14 mmol/L (>252 mg/dL) had slightly less hypoglycemia and similar creatinine levels, white cell counts, and mortality rates versus those treated with insulin when glucose exceeded 10 mmol/L (>180 mg/dL).
https://diabetes.acponline.org/archives/2018/04/13/10.htm
13 Apr 2018

Pearls on diabetes meds in perioperative care

Learn when to stop and start glucagon-like peptide-1 agonists, dipeptidyl peptidase-4 inhibitors, and sodium-glucose cotransporter-2 inhibitors.
https://diabetes.acponline.org/archives/2023/06/09/6.htm
9 Jun 2023

Inpatient exercise improved outcomes in elderly type 2 diabetes patients

A single-center study randomized patients ages 75 years and older to either usual care or 20 minutes twice a day of mobility and strengthening exercises during their hospitalizations.
https://diabetes.acponline.org/archives/2020/11/13/8.htm
13 Nov 2020

Prognostic value of acute-to-chronic glycemic ratio better than glycemia at admission for AMI patients

Patients' A/C glycemic ratio predicted a composite of in-hospital mortality, acute pulmonary edema, and cardiogenic shock as well as troponin I peak value, a prospective study in Italy found.
https://diabetes.acponline.org/archives/2018/02/09/7.htm
9 Feb 2018

Virtual glucose monitoring service may improve inpatient glycemic control

The service used the electronic health record to send daily reports on inpatients with abnormal glucose values or insulin pump use to experienced diabetes clinicians who could remotely enter a glucose management note with insulin recommendations.
https://diabetes.acponline.org/archives/2017/04/14/7.htm
14 Apr 2017

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