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For the majority of noncritically ill hospitalized people with diabetes, preprandial blood glucose targets should be 5.0 to 8.0 mmol/L, in conjunction with random blood glucose values <10.0 mmol/L, as long as these targets can be safely achieved.
- 15.1 Perform an A1C test on all patients with diabetes or hyperglycemia (blood glucose >140 mg/dL [7.8 mmol/L]) admitted to the hospital if not performed in the prior 3 months.
- 15.2 Insulin should be administered using validated written or computerized protocols that allow for predefined adjustments in the insulin dosage based on glycemic fluctuations.
- 15.3 When caring for hospitalized patients with diabetes, consult with a specialized diabetes or glucose management team when possible. C.
- 15.4 Insulin therapy should be initiated for treatment of persistent hyperglycemia starting at a threshold ≥180 mg/dL (10.0 mmol/L). Once insulin therapy is started, a target glucose range of 140–180 mg/dL (7.8–10.0 mmol/L) is recommended for the majority of critically ill and noncritically ill patients.
Jan 1, 2011 · The A1C test result is valuable in determining the most appropriate treatment strategy at discharge. For patients with diabetes, the current recommendation is a goal A1C of < 7%; however, for patients of advanced age or with life-shortening illnesses, a higher A1C is acceptable.
Dec 1, 2023 · The symptoms of having diabetes can add to those of your illness or infection and make it much worse. Feeling or being sick, or having diarrhoea can make your blood sugar levels drop, because you're not absorbing food as usual.
Aug 5, 2024 · The treatment of hyperglycemia in critically ill patients, the perioperative management of diabetes, and the treatment of complications of the diabetes itself, such as diabetic ketoacidosis, are discussed separately.
Mar 14, 2023 · This blood test indicates your average blood sugar level for the past two to three months. Results are interpreted as follows: Below 5.7% is normal. 5.7% to 6.4% is diagnosed as prediabetes. 6.5% or higher on two separate tests indicates diabetes.
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Feb 27, 2024 · Common illnesses can be more challenging if you live with diabetes. Read this expert blog to learn about managing diabetes when you are sick.
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