In-Hospital Hyperglycemia: Effects of Treatment on Glycemic Control and Clinical Outcome
In-Hospital Hyperglycemia: Effects of Treatment on Glycemic Control and Clinical Outcome
To improve glycemic control of inpatients admitted to the internal medicine wards, the
 researchers generated a protocol based on intensive insulin treatment for use in all
 inpatients with hyperglycemia.

 The researchers hypothesize that intensive insulin treatment will improve the glycemic
 control and the outcome of hospitalized patients.

 Study Information:

 -  All patients with a history of diabetes admitted to the internal medicine ward were
 enrolled in the study.

 -  At baseline, demographic and clinical information were obtained, including information
 necessary to determine the severity of the illness. Venous capillary blood glucose
 levels were checked 4 times a day by glucometer.

 -  During the pre-intervention period, patients were treated according to the common
 practice in the hospital without any intervention. The study team collected the baseline
 data on the glycemic control and treatment of patients admitted with hyperglycemia.

 -  During the intervention period, the study team visited the ward daily and guided the
 medical staff as to the use of the treatment protocol.

 -  During the post-intervention period, the study team collected the data without active
 intervention in the implementation of the protocol.

 -  Data was collected on the mode of treatment and glycemic control of all hyperglycemic
 patients throughout the study. The incidence of hypoglycemia, complications (myocardial
 infarction, stroke, infections), mortality, transfer to intensive care unit (ICU),
 length of hospitalization, and disposition at discharge were noted.
Inclusion Criteria:

 -  All patients admitted to the internal medicine ward with hyperglycemia

 Exclusion Criteria:

 -  Patients admitted due to hypoglycemia, hyperosmolar state, and ketoacidosis