• Ann. Intern. Med. · Aug 2024

    How Would You Treat This Inpatient With Type 2 Diabetes Mellitus? Grand Rounds Discussion From Beth Israel Deaconess Medical Center.

    • Zahir Kanjee, Florence M Brown, Zachary H Taxin, and Gerald W Smetana.
    • Harvard Medical School, Division of General Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts (Z.K.).
    • Ann. Intern. Med. 2024 Aug 1; 177 (8): 110611171106-1117.

    AbstractManagement of hospitalized patients with type 2 diabetes mellitus (T2DM) presents unique challenges. Two recently released guidelines, one from the American Diabetes Association and the other from the Endocrine Society, provide useful recommendations and evidence review to inform the care of medical inpatients with T2DM. These guidelines mostly agree, although there are slight differences in their recommendations. In these rounds, 2 expert diabetologists discuss their approach to inpatient management of T2DM, specifically regarding inpatient glycemic goals on the medical ward, the use of noninsulin antihyperglycemic medications, and patient safety strategies for patients receiving long-acting insulin. They conclude with recommendations for Mr. D, a real patient with T2DM admitted with a recurrent foot infection.

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