In this section, the goals for glucose management in hospitalized diabetes patients will be discussed.

 

In the general goal section, we will look at the levels of glucose needed to avoid obvious acute problems such as DKA (diabetic ketoacidosis) or hyperosmolar nonketotic coma as well as decrease infections, hypoglycemia and fluid and electrolyte abnormalities.   The long term goals designed to avoid the chronic microvascular and neuropathic complications of diabetes are not really issues for the short term hospital stay.

 

The last two sections will look at the evidence to back up the current goals for inpatient diabetes management, first the observational correlation studies, then the intervention studies.