The American Association of Clinical Endocrinologists and the American Diabetes Association have recently published a consensus statement with revised glucose targets for hospitalized patients (Table 47.1). For patients in the ICU, intravenous insulin remains the preferred method to achieve and maintain blood glucose control.
Diabetes mellitus and hyperglycemia are frequently encountered in hospitalized patients and present complex management problems. This issue will continue to stress the health-care system in the United States as an increase in the overall diabetes prevalence is anticipated over the coming decades. Since diabetic patients are hospitalized more often than their non-diabetic peers, hyperglycemia in