Lippincott Nursing Pocket Card - November 2022
Hyperglycemia (blood glucose greater than 140 mg/dL [7.8 mmol/L]) is common in acutely ill patients with and without established diabetes. Hyperglycemia is strongly associated with poor hospital outcomes including prolonged hospital stay, infections, disability after hospital discharge, and death. For most inpatients, targeting a glucose level between 140 and 180 mg/dl (7.8 and 10.0 mmol/l) will prevent complications of hyperglycemia while minimizing the risk inadvertent hypoglycemia, which is also associated with adverse outcomes. Insulin is the best medication to treat hyperglycemia, especially in the ICU setting.
General Recommendations (American Diabetes Association, 2022)
Insulin
Please refer to the Nursing Pocket Card Managing Acute Diabetic Complications.
Critical Care
Perioperative Care
Continuous Subcutaneous Insulin Infusion (CSII)
Please refer to the Nursing Pocket Card Discharge Planning for Patients with Diabetes Mellitus.
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