Managing Diabetes And Hyperglycemia In The Hospital: Critically Ill And Surgical Patients

Managing Diabetes And Hyperglycemia In The Hospital: Critically Ill And Surgical Patients is organized by Society of Hospital Medicine (SHM).

Dates:
Release Date: 06/18/2018
Expiration Date: 06/18/2021

Accreditation:
The Society of Hospital Medicine designates this activity for a maximum of 2 AMA PRA Category 1 CreditsTM  / 2.00 ABIM MOC Self Evaluation Points

Overview:
Hospitalized patients with diabetes require specific medical management in order to minimize the risk of hyperglycemia. This requires hospitalists to have an understanding of methods for glycemic control in both the critically ill and noncritically ill patient. This module, which focuses on the critically ill hospitalized patient, is part of a 2-part series that will evaluate the current scientific evidence regarding glycemic control and discuss how to formulate preoperative and postoperative intensive care unit plans. In addition, a thorough review of the evidence for intraoperative glycemic control and a discussion of how to transition patients off of an insulin drip are provided.

Learning Objectives:
After completing the module, the participant should be able to:
• Evaluate the current scientific evidence regarding glycemic control in the critically ill hospitalized patient, especially in the postoperative patient.
• Formulate a preoperative plan for patients with diabetes.
• Appraise the evidence for intraoperative glycemic control and make recommendations for intraoperative care.
• Formulate a postoperative intensive care unit treatment plan, including insulin drips and glucagon-like peptide-1 infusion.
• Summarize the indications and process to transition off an insulin drip, including computation of a subcutaneous insulin regimen.