Meeting
Abstract Number: 189
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Hyperglycemia is directly associated with increased risk for infection, delayed healing, increased morbidity, mortality and increased length of stay following orthopedic surgery. A process was developed to identify these patients pre-operatively to proactively intervene before surgery and more aggressively after surgery to control glucose levels. Purpose: Retrospective chart reviews and root cause analysis identified […]
Abstract Number: 217
SHM Converge 2023
Background: Multiple organizations have published clinical guidelines on hyperglycemia management in the acute care setting in non-critically ill patients [1–3], and the Society of Hospital Medicine offers additional support through its Glycemic Control program [4]. However, there remains little consensus regarding specific dosing regimens when designing insulin protocols in the inpatient setting. At our institution, […]
Abstract Number: 949
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 50 year old man with poorly controlled type 2 diabetes mellitus (DM) presented with flank pain, nausea, vomiting, and fever. On exam, he was febrile, tachycardic, hypotensive, and had right sided CVA tenderness. The ER performed a CT stone protocol, however, imaging demonstrated right sided emphysematous pyelonephritis (EPN). Our patient was admitted […]
Abstract Number: G22
SHM Converge 2022
Background: Studies have demonstrated that oral medications such as metformin are safe to continue in the hospital, and that when insulin is used in a hospital setting, a basal or basal-bolus regimen is more effective than sliding scale monotherapy (1-2). Despite mounting evidence and society guidelines, clinicians have been slow to adopt these practices in […]