Intensive Insulin Therapy in Hospitalized Patients

Abstract

Letters21 June 2011Intensive Insulin Therapy in Hospitalized PatientsLynn Bentson, MDLynn Bentson, MDFrom Samaritan Health Physicians, Albany, OR 97321.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-154-12-201106210-00018 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:I appreciated Qaseem and colleagues' extensive review of in-hospital glucose targets (1). Perhaps I misunderstood, but I think that the stated target blood glucose level of 7.8 to 11.1 mmol/L (140 to 200 mg/dL) includes all patients. When I looked at the references, however, most of them seemed to discuss patients who are receiving nothing by mouth because they are critically ill, are postoperative, or have had recent neurologic events.Most of the time, if a hospitalized patient is eating, we in the medical community almost universally check the preprandial capillary glucose level. If it is 11.1 ...Reference1. Qaseem A, Humphrey LL, Chou R, Snow V, Shekelle P; Clinical Guidelines Committee of the American College of Physicians. Use of intensive insulin therapy for the management of glycemic control in hospitalized patients: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2011;154:260-7. [PMID: 21320941] LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Samaritan Health Physicians, Albany, OR 97321.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoUse of Intensive Insulin Therapy for the Management of Glycemic Control in Hospitalized Patients: A Clinical Practice Guideline From the American College of Physicians Amir Qaseem , Linda L. Humphrey , Roger Chou , Vincenza Snow , Paul Shekelle , and Intensive Insulin Therapy in Hospitalized Patients Anthony P. Furnary Intensive Insulin Therapy in Hospitalized Patients Rajesh Garg Intensive Insulin Therapy in Hospitalized Patients Mary Korytkowski , Etie Moghissi , and Guillermo Umpierrez Intensive Insulin Therapy in Hospitalized Patients Devan Kansagara , Paul Shekelle , and Amir Qaseem Metrics Cited byManagement of Hyperglycemia During the Perioperative PeriodHypoglycemie bij diabetes tijdens ziekenhuisopname: relevant voor klinische uitkomsten? 21 June 2011Volume 154, Issue 12Page: 845KeywordsBloodCapillariesConflicts of interestEatingGlucoseInsulinMouth ePublished: 21 June 2011 Issue Published: 21 June 2011 Copyright & PermissionsCopyright © 2011 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...