The Endocrine Society recently released new clinical-practice guidelines recommending that all patients have their blood-glucose levels tested upon admission to the hospital, even if they haven’t had a prior diagnosis of diabetes.
The Endocrine Society recently released new clinical practice guidelines recommending that all patients have their blood-glucose levels tested upon admission to the hospital, even if they haven’t had a prior diagnosis of diabetes. The guidelines were published January 1, in The Journal of Clinical Endocrinology & Metabolism.
The practice guidelines were developed by a Task Force appointed by The Clinical Guidelines Subcommittee of The Endocrine Society and chaired by Guillermo Umpierrez, MD, from Emory University in Atlanta. The recommendations are the consensus of several organizations, including The Endocrine Society, the American Diabetes Association, American Heart Association, American Association of Diabetes Educators, European Society of Endocrinology, and the Society of Hospital Medicine.
According to the article, hyperglycemia affects 32% to 38% of patients in community hospitals and occurs not only in patients with known diabetes, but also in those with previously undiagnosed diabetes. Some patients develop stress hyperglycemia during an acute illness that resolves before they are discharged.
“The association between hyperglycemia in hospitalized patients (with or without diabetes) and increased risk for complications and mortality is well established,” the authors wrote. “This association is observed for both admission glucose and mean BG level during the hospital stay.”
The goal of the task force was to develop practical and safe glycemic goals as well as protocols and procedures for achieving the goals.
Specific recommendations in the society’s guidelines include: