title: [Glycemic control in non-critical hospitalized patients].
abstract: OBJECTIVE
  To assess in hospitalized patients the prevalence of hyperglycemia, degree of glycemic control, rate of hypoglycemia, and treatment used.
  
  
  METHODS
  A prospective, observational study.
  
  
  RESULTS
  Hyperglycemia was found in 185 (26.7%) of 691 patients, of whom 85% had been diagnosed with diabetes and 15% had no diabetes. Preprandial mean blood glucose was 169 mg/dL (95% CI 160-177). Control goals were achieved by 34.5% of patients (blood glucose ≤140 mg/dL). In 121 patients only sliding-scale regular insulin was used, while 64 patients received both basal and regular insulin. The mean daily insulin dose used was 19.5 units. Oral antidiabetics were given to 11.4% of patients. Thirteen patients (7%) experienced hypoglycemia (< 70 mg/dL), none of them severe.
  
  
  CONCLUSIONS
  Glycemic control is not adequate in hospitalized patients, probably because of overuse of sliding scales and the low insulin doses used.
authors.affiliation: Servicio de Endocrinología y Nutrición, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España. mbotella.hupa@salud.madrid.org
authors.forename: Marta
authors.initials: M
authors.lastname: Botella
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Rubio
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Percovich
authors.forename: Eduardo
authors.initials: E
authors.lastname: Platero
authors.forename: Clara
authors.initials: C
authors.lastname: Tasende
authors.forename: Julia
authors.initials: J
authors.lastname: Alvarez
mesh_terms: D000368:Aged; D001786:Blood Glucose / Q000032:analysis; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000097:blood / Q000188:drug therapy* / Q000453:epidemiology; D005260:Female; D006760:Hospitalization; D006801:Humans; D006943:Hyperglycemia / Q000097:blood / Q000188:drug therapy* / Q000453:epidemiology; D007003:Hypoglycemia / Q000097:blood / Q000188:drug therapy* / Q000453:epidemiology; D008297:Male; D015995:Prevalence; D011446:Prospective Studies
chemical_list: D001786:Blood Glucose