• Guillermo E Umpierrez, Richard Hellman, Mary T Korytkowski, Mikhail Kosiborod, Gregory A Maynard, Victor M Montori, Jane J Seley, Greet Van den Berghe, and Endocrine Society.
• Emory University School of Medicine, Atlanta, Georgia 30322, USA.
• J. Clin. Endocrinol. Metab. 2012 Jan 1;97(1):16-38.

ObjectiveThe aim was to formulate practice guidelines on the management of hyperglycemia in hospitalized patients in the non-critical care setting.ParticipantsThe Task Force was composed of a chair, selected by the Clinical Guidelines Subcommittee of The Endocrine Society, six additional experts, and a methodologist.EvidenceThis evidence-based guideline was developed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system to describe both the strength of recommendations and the quality of evidence.Consensus ProcessOne group meeting, several conference calls, and e-mail communications enabled consensus. Endocrine Society members, American Diabetes Association, American Heart Association, American Association of Diabetes Educators, European Society of Endocrinology, and the Society of Hospital Medicine reviewed and commented on preliminary drafts of this guideline.ConclusionsHyperglycemia is a common, serious, and costly health care problem in hospitalized patients. Observational and randomized controlled studies indicate that improvement in glycemic control results in lower rates of hospital complications in general medicine and surgery patients. Implementing a standardized sc insulin order set promoting the use of scheduled basal and nutritional insulin therapy is a key intervention in the inpatient management of diabetes. We provide recommendations for practical, achievable, and safe glycemic targets and describe protocols, procedures, and system improvements required to facilitate the achievement of glycemic goals in patients with hyperglycemia and diabetes admitted in non-critical care settings.

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