Management of Diabetes and Hyperglycemia in Hospitalized Patients in a Critical Care Setting

3130 Words Jan 14th, 2018 13 Pages
Currently, the management of diabetes in the hospital is often considered secondary compared with the condition that prompted the inpatient admission (Clement et al., 2004). Hospitalized patients with diabetes suffer increased morbidity, mortality, length of stay and other related hospital costs compared to non-hyperglycemic patients. These negative healthcare outcomes are observed more frequently in hospitalized patients with newly discovered hyperglycemia (Umpierrez et al., 2012).
Hyperglycemia is a major complication of diabetes (Umpierrez et al., 2012). Hyperglycemia during hospitalization is a common finding and represents an important marker of poor clinical outcome and mortality in patients with and without a history of diabetes. Recent studies have focused attention to the possibility that hyperglycemia in the hospital is not necessarily a benign condition and that aggressive treatment of diabetes and hyperglycemia results in reduced mortality and morbidity (Vasudev & Johnston, 2011). These findings are supported by the results of a study by Rasekaba, Lim and Hutchison (2012) that found in developed countries, diabetes is a leading cause of cardiovascular disease and renal failure, and, in the over 60…
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