Management of Hyperglycemia and Diabetes in the Hospital: Case Studies Bruce W.
{"Image DocumentName": "Hyperglycemia in Hospitalized Patients", "Image ImageDescription": "Hyperglycemia occurred in 38% of hospitalized patients. 26% had known history of diabetes. 12% had no history of diabetes. Newly discovered hyperglycemia was associated with: Longer hospital stays. Higher admission rates to intensive care units. Less chance to be discharged to home (required more transitional or nursing home care) Hyperglycemia in Patients With Undiagnosed Diabetes. New hyperglycemia was defined as an admission or in-hospital fasting glucose level of 126 mg/dL (7 mmol/L) or more or a random blood glucose level of 200 mg/dL (11.1 mmol/L) or more on 2 or more determinations. Hyperglycemia was present in 38% of patients admitted to the hospital, of whom 26% had a known history of diabetes, and 12% had no history of diabetes before admission. Newly discovered hyperglycemia was associated with a higher in-hospital mortality rate (16%) compared with patients with a history of diabetes (3%) and patients with normoglycemia (1.7%; both P < 0.01). In addition, new hyperglycemic patients had longer hospital stays and a higher admission rate to an intensive care unit, and were less likely to be discharged to home, frequently requiring transfer to a transitional care unit or nursing home facility. The results indicate that in-hospital hyperglycemia is a common finding and represents an important marker of poor clinical outcome and mortality in patients with and without a history of diabetes. Patients with newly diagnosed hyperglycemia had a significantly higher mortality rate and a lower functional outcome than patients with a known history of diabetes or normoglycemia. 1. Umpierrez GE, Isaacs SD, Bazargan N, et al. Hyperglycemia: an independent marker of in-hospital mortality in patients with undiagnosed diabetes. J Clin Endocrinol Metab. 2002;87: Umpierrez GE, et al. J Clin Endocrinol Metab. 2002;87:978\u2013982.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}