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Internal medicine journal · Mar 2021
Managing inpatient hyperglycaemia and initiating sodium-glucose cotransporter 2 inhibitor therapy in the setting of diabetes and acute coronary syndrome.
- Sarah A Hitchen, Nick S R Lan, Adam L Hort, James M Rankin, P Gerry Fegan, and Bu B Yeap.
- Department of Endocrinology and Diabetes, Fiona Stanley Hospital, Perth, Western Australia, Australia.
- Intern Med J. 2021 Mar 1; 51 (3): 428-432.
AbstractWe previously showed that implementing algorithms for managing diabetes in acute coronary syndrome was associated with improved inpatient glycaemic control and increased sodium-glucose cotransporter 2 (SGLT2) inhibitor prescriptions. The present study performed 1 year later found that inpatient hyperglycaemia had relapsed to pre-intervention rates, although SGLT2 inhibitor prescriptions remained increased. We discuss the challenges of improving inpatient glycaemic control.© 2021 Royal Australasian College of Physicians.
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