Session Type
Meeting
Search Results for Diabetes
Abstract Number: 308
SHM Converge 2024
Background: Guidelines for inpatient diabetes management recommend insulin therapy for persistent hyperglycemia >180 mg/dL with a target glucose range of 140 – 180 mg/dL.1,2 Although guidelines recommend glucose monitoring for insulin administration, there is no standard monitoring approach for patients without evidence of persistent hyperglycemia. As such, hospitalized patients are frequently started on 3 – […]
Abstract Number: 325
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Diabetes mellitus is common among hospitalized patients. An inpatient diabetes management service (IDMS) was implemented at a community hospital in suburban Maryland to provide better glycemic control for inpatients. Purpose: To analyze the length of stay (LOS) and 30-day readmission rate (30DR) of patients co-managed by an IDMS team. Description: We retrospectively analyzed LOS […]
Abstract Number: 327
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Insulin is the preferred agent to manage hyperglycemia in the hospital. However, it is considered a high alert medication due to risk of hypoglycemia and severity of adverse events. In our institution, three hospitals currently use an order for correctional insulin based on a formula, in which the nurse calculates the dosage using the […]
Abstract Number: 332
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 66-year-old female with newly diagnosed diabetes mellitus type 1 (DMT1) and hypertension was evaluated for severe hypokalemia on routine labs. Associated symptoms included generalized fatigue, muscle cramps, bilateral lower extremity edema. Physical exam was remarkable for moon face, bibasilar crackles, and lower extremity edema. Initial workup showed sodium of 151 mEq/L, potassium […]
Abstract Number: 332
Hospital Medicine 2020, Virtual Competition
Background: Fingerstick blood glucose (FSBG) testing allows inpatient providers to adjust insulin in real time to protect patients from significant hypo- or hyperglycemia. Admitted diabetic patients are often placed on sliding scale insulin with four times per day FSBG testing, regardless of home insulin use. FSBG test materials cost $9 per use (1). We estimate […]
Abstract Number: 369
SHM Converge 2023
Background: Admitted patients with Type II Diabetes Mellitus (T2DM) are often placed on sliding scale insulin with four fingerstick blood glucose (FSBG) tests per day, regardless of home insulin use or baseline glycemic control. FSBG testing in the inpatient setting allows for real-time insulin adjustment to protect patients from significant hypo- or hyperglycemia, but FSBG […]
Abstract Number: 406
SHM Converge 2021
Case Presentation: A 64-year-old woman with uncontrolled type 2 diabetes mellitus presented with five months of constant, stabbing left temporal headache radiating to the ear, jaw, and neck. She had associated progressive neurologic deficits, including blurred vision, flashing lights, and subacute left-sided hearing loss. She had presented to another hospital two months prior to the […]
Abstract Number: 406
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 24 year old female with uncontrolled Type 1 Diabetes Mellitus was admitted with bilateral lower extremity swelling and abdominal fullness. Three weeks prior she visited the emergency department, was found to have mild bilateral pedal edema, and was given primary care physician follow-up. She was initiated on a diuretic regimen; B-type natriuretic […]
Abstract Number: 411
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 49 year-old woman with type 2 diabetes presented with emesis and inability to tolerate oral intake. Her symptoms had developed three days earlier, following an elective abdominoplasty and incarcerated hernia repair. Her anti-hyperglycemic regimen included sitagliptin, glimepiride, and dapagliflozin. She had stopped those medications on the day of surgery and restarted them […]
Abstract Number: 434
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: 43 year old HIV positive, type I diabetic female (on lopinavir-ritonavir, efavirenz; last CD4 count 942; negative viral load), presented to Emergency Department (ED) with lower back pain radiating bilaterally to buttocks for one week. Physical examination revealed paraspinal tenderness, intact rectal tone and saddle sensation, no motor weakness. Magnetic Resonance Imaging (MRI) […]