Background: Individuals with diabetes have a 2–3 fold higher hospitalization rate compared to those without diabetes. During hospitalization, individuals with diabetes frequently experience elevated blood glucose levels (or, hyperglycemia) (1), which can increase monitoring by nurses and hospitalists, length of stay, and healthcare cost. Therefore, we sought to develop a machine learning model to predict [...]

Background: Glucocorticoids are prescribed at high rates in the inpatient setting for various autoimmune and inflammatory conditions. A common complication is steroid-induced hyperglycemia (SIHG), diagnosed when blood glucose levels surpass 140 mg/dL (7.8 mmol/l) in response to steroid exposure. Clinical practice guidelines offer strategies for correction of hyperglycemia among hospitalized patients but lack specific best [...]

Case Presentation: A 56-year-old man with type 2 diabetes and hypertension presented to the ER with uncontrolled blood sugars, intermittent nausea, vomiting, fevers, and a 15-pound unintentional weight loss over one month. He was recently hospitalized with similar symptoms, started on insulin, and evaluated for fevers with negative blood and urine cultures, which were attributed [...]

Case Presentation: A 79 year-old female with a history of congestive heart failure (CHF) and poorly controlled type two diabetes mellitus (T2DM) presented from sub-acute rehab (SAR) with shortness of breath and bilateral lower extremity edema. In the ED, her vitals were stable except for mild hypoxia requiring 2L of oxygen. Labs revealed elevated B-type [...]