Presented By: Marilyn Tan, MD

Control of hyperglycemia in hospitalized patients is important for optimal clinical outcomes, but can be very challenging. Uncontrolled hyperglycemia in hospitalized patients with or without a previous diagnosis of diabetes is associated with adverse outcomes and longer lengths of stay. In addition to the increasing prevalence of diabetes in the United States, many patients without preexisting diabetes experience stress-related hyperglycemia during hospitalization. It is estimated that one-third of hospitalized patients will experience significant hyperglycemia. The cost associated with hospitalization for patients with diabetes accounts for half of all health care expenditures for this disease. Controlling glucose levels for inpatients should be a priority for hospitals and practicing physicians. This activity will present an overview of management of inpatient diabetes, glucose goals, and transitions of care.

Desired Outcomes:

• Examine current scientific evidence regarding glycemic control.
• Be familiar with medications best for controlling blood glucose levels in the hospital.
• Identify methods for glycemic control in both the critically ill and non-critically ill patient.
• Compute an appropriate dose of insulin and develop an insulin regimen to manage diabetes in the hospital.
• Apply strategies for developing a discharge plan for patients on insulin.
• Recognize the cultural factors and the risk factors associated with patients with diabetes (age, ethnicity, socioeconomics, culture, and diet).

Lunch is provided.

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