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Related Experiment Videos

Mikkel Thor Olsen1, Katrine Bagge Hansen2, Carina Kirstine Klarskov1

  • 1Endokrinologisk og Nefrologisk Afdeling, Københavns Universitetshospital - Nordsjællands Hospital, Hillerød.

Ugeskrift for Laeger
|February 10, 2023
PubMed
Summary
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In-hospital hyperglycaemia management in Denmark often uses sliding-scale insulin, differing from international basal-bolus guidelines. Further research is needed on glucose targets and non-insulin agents.

Area of Science:

  • Endocrinology
  • Internal Medicine
  • Hospital Management

Background:

  • In-hospital hyperglycaemia is common and linked to poor patient outcomes.
  • Insulin therapy is the primary treatment for elevated blood glucose levels during hospitalization.

Approach:

  • This review synthesizes current practices for managing hyperglycaemia within Danish hospitals.
  • It contrasts Danish approaches with international recommendations, particularly regarding insulin regimens.

Key Points:

  • Danish hospitals frequently employ sliding-scale insulin, often adding basal insulin only after 1-2 days of persistent hyperglycaemia.
  • This strategy deviates from the widely recommended basal-bolus insulin regimen advocated by international guidelines.

Conclusions:

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  • Current Danish hospital practices for hyperglycaemia management require re-evaluation against established international standards.
  • Further research is essential to determine optimal glucose targets for non-intensive care units, the efficacy of non-insulin antidiabetic agents, and the role of continuous glucose monitoring.