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Inpatient Management of Hyperglycemia and …
F E A T U R E A R T I C L E. Inpatient Management of Hyperglycemia and Diabetes Vasudev Magaji, MD, MS, and Jann M. Johnston, MD. U. ncontrolled Hyperglycemia in cal advice on managing Inpatient unless it is a very brief hospitaliza- hospitalized patients with or Hyperglycemia . tion. Oral agents can be restarted without a previous diagnosis as patients approach discharge or of diabetes is associated with adverse General Guidelines transfer to a nonacute setting. outcomes and longer lengths of stay. Hyperglycemia is defined as blood Metformin cannot be used when In addition to the increasing preva- glucose > 140 mg/dl, and treatment there is any possibility of the need for lence of diabetes in the United States, is recommended when glucose levels iodinated contrast studies or renal many patients without preexisting are persistently > 140 180
CLINICAL DIABETES • Volume 29, Number 1, 2011 3 F E A T U R E A R T I C L E Inpatient Management of Hyperglycemia and Diabetes Vasudev Magaji, MD, MS, and Jann M. Johnston, MD
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