Clinical Evidence for Glucose Control in the Inpatient Setting

Key Points

  • Epidemiologic studies show that glucose control in hospitals is woefully inadequate.

    • Approximately 30% of hospitalized patients have blood glucose values >180 mg/dL.

      • As glucose levels rise, so does mortality risk, as well as the risk of dehydration, hypotension, eventual renal shutdown, poor healing, and impaired immune system function.

    • Another 6% to 7% of patients have glucose values in the hypoglycemic range (<70 mg/dL) and are at risk for neuroglycopenia, brain dysfunction, and cardiac arrhythmias, which can prove fatal in vulnerable populations.

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