Randomly discovered blood glucose in hospitalized patient | Action |
---|---|
Blood Glucose Level <140Â mg/dL in Patients without Diabetes or Risk Factors for Stress Hyperglycemia (The specific risk factors are detailed in the footnote) | No need for follow-up |
140–180 mg/dL or presence of Risk Factors* (The specific risk factors are detailed in the footnote) | • Capillary Blood Glucose Monitoring (CBGM) • Preprandial Correction Insulin for Occasional Hyperglycemia—Tables 2 and 4 (Less than one episode per day above 180 mg/dL and all below 250 mg/dL) |
180–200 mg/dL AND No outpatient use of insulin | • CBGM • Basal Insulin Therapy Combined with Preprandial Corrections—Tables 2 and 4; or • DPP-4 Inhibitors Associated with Preprandial Corrections; |
200–250 mg/dL or Outpatient use of insulin with a total dose below 0.6 IU/kg | • CBGM • Basal Insulin Therapy Combined with Preprandial Corrections—Tables Table 2 and 4 |
>250 mg/dL, or History of type 1 diabetes, LADA, Secondary diabetes due to Pancreatectomy, or Outpatient use of Insulin with a total dose above 0.6 IU/kg | • CBGM • Basal-Bolus Insulin Therapy |
Hyperglycemia Secondary to Glucocorticoids Use | • Basal-Bolus Insulin Therapy with/or NPH Insulin in the Morning, Proportional to the Glucocorticoid Dose |