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Cited by 34Diabetes Management and ResearchHyperglycemia and glycemic control in critically ill and hospitalized patientsDiabetes Treatment and Management

Management of type 1 diabetes in the hospital setting

Mendez, Carlos E., Umpierrez, Guillermo E.·2017·Current Diabetes Reports
DOI 10.1007/s11892-017-0919-7
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Abstract

Purpose of review The purpose of this article was to review recent guideline recommendations on glycemic target, glucose monitoring, and therapeutic strategies, while providing practical recommendations for the management of medical and surgical patients with type 1 diabetes (T1D) admitted to critical and non-critical care settings. Recent findings Studies evaluating safety and efficacy of insulin pump therapy, continuous glucose monitoring, electronic glucose management systems, and closed loop systems for the inpatient management of hyperglycemia are described. Due to the increased prevalence and life expectancy of patients with type 1 diabetes, a growing number of these patients require hospitalization every year. Inpatient diabetes management is complex and is best provided by a multidisciplinary diabetes team. In the absence of such resource, providers and health care staff must become familiar with the features of this condition to avoid complications such as severe hyperglycemia, ketoacidosis, hypoglycemia, or glycemic variability. We reviewed most recent guidelines and relevant literature in the topic to provide practical recommendations for the inpatient management of patients with T1D.

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Registry

Crossref · 10.1007/s11892-017-0919-7

Cites

11 of 11 references verified0 citation errors · 0 not checkable

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  • Correctional insulin alone is contraindicated for people with type 1 diabetes.

    “For people with type 1 diabetes, correctional insulin alone is contraindicated because insulin dosing based solely on premeal glucose levels does not account for basal insulin requirements or caloric intake and increases the risk of both hypoglycemia and hyperglycemia (83).”

    From 16. Diabetes Care in the Hospital: Standards of Care in Diabetes—2026 (2026) · cites this paper as [83]

  • Insulin dosing based solely on premeal glucose levels does not account for basal insulin requirements or caloric intake and increases the risk of both hypoglycemia and hyperglycemia.

    “insulin dosing based solely on premeal glucose levels does not account for basal insulin requirements or caloric intake and increases the risk of both hypoglycemia and hyperglycemia (83).”

    From 16. Diabetes Care in the Hospital: Standards of Care in Diabetes—2026 (2026) · cites this paper as [83]

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Authors
Mendez, C. E., & Umpierrez, G. E.
Affiliations
  • Medical College of Wisconsin (US)
  • Emory University (US)
Corresponding author
Umpierrez, Guillermo E.
ORCID
Venue
Current Diabetes Reports
Publisher
Springer Science and Business Media LLC
Published
2017-09-14
Volume
17
Issue
10
Pages
98-98
ISSN
  • 1534-4827 (ISSN-L)
  • 1539-0829
DOI
10.1007/s11892-017-0919-7
OpenAlex
W2755964467
Cited by
34
References
11
Citations by year
2026: 1 · 2025: 3 · 2024: 4 · 2023: 6 · 2022: 6 · 2021: 6 · 2020: 4 · 2019: 3 · 2018: 1
FWCI
0.32
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (unspecified)
Locations
  • Current Diabetes Reports (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hyperglycemia and glycemic control in critically ill and hospitalized patients
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
Keywords
type 1 diabetes, inpatient diabetes management, glycemic targets, glucose monitoring, insulin pump therapy, continuous glucose monitoring, artificial pancreas, hyperglycemia, diabetic ketoacidosis, hypoglycemia, glycemic variability, surgical patients, intensive care
MeSH terms
Blood Glucose, Diabetes Mellitus, Type 1, Hospitals, Humans, Monitoring, Physiologic, Self Care, Critical Illness

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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

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