How Would You Treat This Inpatient With Type 2 Diabetes Mellitus? Grand Rounds Discussion From Beth Israel Deaconess Medical Center.
Zahir KanjeeFlorence M BrownZachary H TaxinGerald W SmetanaPublished in: Annals of internal medicine (2024)
Management of hospitalized patients with type 2 diabetes mellitus (T2DM) presents unique challenges. Two recently released guidelines, one from the American Diabetes Association and the other from the Endocrine Society, provide useful recommendations and evidence review to inform the care of medical inpatients with T2DM. These guidelines mostly agree, although there are slight differences in their recommendations. In these rounds, 2 expert diabetologists discuss their approach to inpatient management of T2DM, specifically regarding inpatient glycemic goals on the medical ward, the use of noninsulin antihyperglycemic medications, and patient safety strategies for patients receiving long-acting insulin. They conclude with recommendations for Mr. D, a real patient with T2DM admitted with a recurrent foot infection.
Keyphrases
- glycemic control
- clinical practice
- patient safety
- type diabetes
- palliative care
- healthcare
- quality improvement
- mental health
- acute care
- cardiovascular disease
- weight loss
- insulin resistance
- case report
- magnetic resonance
- computed tomography
- magnetic resonance imaging
- metabolic syndrome
- adipose tissue
- pain management
- contrast enhanced
- skeletal muscle