title: [Insulin therapy among inpatients].
abstract: To identify patients with known diabetes or hospital-related hyperglycemia. To establish blood glucose targets according to patient's clinical state. To draw up protocols by using basal, bolus (nutritional/prandial), and supplemental insulin and not "sliding scale insulin". To avoid hypoglycaemia particularly during intravenous insulin protocols in intensive care unit. To set up glucose monitoring with a regular training of medical staff. To perform HbA1c during hospital stay to plan the treatment after discharge. To organize follow-up of the patients with hospital-related hyperglycemia.
authors.affiliation: CHNO des Quinze-Vingts, service de médecine interne, 28, rue de Charenton, 75571 Paris cedex 12, France. s.feldman@quinze-vingts.fr
authors.forename: Sylvie
authors.initials: S
authors.lastname: Feldman-Billard
authors.forename: Jean-Jacques
authors.initials: JJ
authors.lastname: Altman
mesh_terms: D000305:Adrenal Cortex Hormones / Q000009:adverse effects; D000359:Aftercare; D001786:Blood Glucose / Q000032:analysis; D003422:Critical Care / Q000379:methods; D016638:Critical Illness; D003920:Diabetes Mellitus / Q000097:blood / Q000188:drug therapy*; D004333:Drug Administration Routes; D005947:Glucose / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use; D006442:Glycated Hemoglobin / Q000032:analysis; D017052:Hospital Mortality; D006801:Humans; D006943:Hyperglycemia / Q000097:blood / Q000188:drug therapy* / Q000209:etiology; D007003:Hypoglycemia / Q000139:chemically induced / Q000517:prevention & control; D007297:Inpatients; D007328:Insulin / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D009203:Myocardial Infarction / Q000150:complications / Q000188:drug therapy / Q000401:mortality; D057947:Parenteral Nutrition Solutions / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use; D057285:Precision Medicine; D016032:Randomized Controlled Trials as Topic; D012189:Retrospective Studies; D013312:Stress, Physiological
chemical_list: D000305:Adrenal Cortex Hormones; D001786:Blood Glucose; D005947:Glucose; D006442:Glycated Hemoglobin; D007328:Insulin; D057947:Parenteral Nutrition Solutions