title: Systematic strategies for improved outcomes for the hyperglycemic hospitalized patient with diabetes mellitus.
abstract: Diabetes mellitus is reaching epidemic proportions in the United States. It is now the fourth most common comorbid condition complicating hospital discharges. There is a rapidly evolving body of literature assessing the short-term and long-term effects of strict glycemic control in the hospital setting. Results from several landmark studies have challenged the long-held notion that stress hyperglycemia is beneficial. This article will focus on these studies, postulated mechanisms of action, and finally, description of an insulin infusion protocol developed at a community hospital for patients undergoing cardiac surgery.
authors.affiliation: Edward Hospital, Naperville, Illinois, USA. falgunivasa@sbcglobal.net
authors.forename: Falguni
authors.initials: F
authors.lastname: Vasa
mesh_terms: D006348:Cardiac Surgical Procedures; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000188:drug therapy*; D004334:Drug Administration Schedule; D006801:Humans; D006943:Hyperglycemia / Q000188:drug therapy*; D007004:Hypoglycemic Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D007297:Inpatients; D007328:Insulin / Q000008:administration & dosage / Q000627:therapeutic use*; D015337:Multicenter Studies as Topic; D016032:Randomized Controlled Trials as Topic; D016896:Treatment Outcome; D014481:United States
chemical_list: D007004:Hypoglycemic Agents; D007328:Insulin