Newly updated hyperglycemia guidelines.
In hospital settings with available resources and training, real-time continuous glucose monitoring is suggested for hospitalized, noncritically ill adults with insulin-treated diabetes and a high risk for hypoglycemia. Confirmatory bedside point-of-care blood glucose monitoring should be used to adjust insulin dosing instead of employing only point-of-care blood glucose testing.
It is suggested that when a hospital can access personnel with expertise in insulin pump treatment, such therapy be continued in adult patients whose diabetes was being managed with an insulin pump before admission for noncritical illness. This strategy should be used in place of putting the patient on subcutaneous basal bolus insulin therapy.
NPH-based or basal bolus regimens are suggested in hospitalized, noncritically ill adult patients in whom enteral nutrition, using formulations that are specific or nonspecific for diabetes, is being administered It is suggested that carbohydrate-containing oral fluids not be administered preoperatively to adults with type 1 diabetes, type 2 diabetes, or other forms of diabetes, in whom a surgical procedure is being performed.
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