Managing Diabetes And Hyperglycemia In The Hospital: Focus On The Noncritically Ill Patient

Managing Diabetes And Hyperglycemia In The Hospital: Focus On The Noncritically Ill Patient is organized by Society of Hospital Medicine (SHM).

Dates:
Release Date: Jan 04, 2019
Expiration Date: Jan 04, 2022

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 noncritically ill patient, is part of a 2-part series that will evaluate the current scientific evidence regarding glycemic control and discuss which medications are best for controlling blood glucose levels in the hospital. A thorough discussion of how to determine the appropriate insulin dose and develop an insulin regimen for hospitalized patients is provided, as well as strategies for developing a discharge plan for patients on insulin.

Learning Objectives:
After completing the module, the participant should be able to:
• Evaluate the current scientific evidence regarding glycemic control in the noncritically ill hospitalized patient, including the optimal glycemic target for these patients.
• Describe which medications are best for controlling blood glucose levels in the hospital and discuss which medications can pose a risk.
• Compute an appropriate dose of insulin to manage hyperglycemia in the hospital.
• Formulate an anticipatory, physiologic insulin regimen for a given hospital patient.
• Judge the importance of matching nutritional insulin with the actual nutritional intake, and discuss ways of accomplishing this.
• Arrange a discharge plan for patients on insulin in the hospital and discuss various options that are available.
• Apply the principle of diabetes management to the perioperative patient