Group Issues Guideline For Hyperglycemia Management In Hospital Patients.

MedPage Today  (1/6, Neal) reports, "All hospital patients should have blood glucose levels measured on admission, according to an Endocrine Society clinical practice guideline  on managing hyperglycemia in non-critically ill patients" to appear in the Journal of Clinical Endocrinology & Metabolism. "For most patients with type 2 diabetes, the authors suggest discontinuation of oral hypoglycemic agents and initiation of insulin therapy on admission for an acute illness." This recommendation "applies to both diabetic and normoglycemic patients, and goes one step further than guidance from the American Diabetes Association (ADA)," which "has recommended initial glucose measurements for diabetic patients and nondiabetic patients who are receiving therapies associated with hyperglycemia, with the recognition that high blood glucose has been associated with a greater risk for complications and death among hospitalized patients."