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Updated: Jul 23, 2025

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
A Novel Algorithm for the Management of Inpatient COVID-19 Glucocorticoid-Induced Hyperglycemia
Alexander B Karol1, Natalia Viera2, Selassie J Ogyaadu2
1Icahn School of Medicine at Mount Sinai, New York, NY.
Abstract:
Hyperglycemia in hospitalized patients with coronavirus disease 2019 (COVID-19) is linked to increased morbidity and mortality. This article reports on a novel insulin titration protocol for the management of glucocorticoid-induced hyperglycemia in hospitalized patients with COVID-19. Sixty-five patients with COVID-19 and glucocorticoid-induced hyperglycemia admitted after the protocol implementation were matched 1:1 to patients admitted before the treatment protocol rollout for analysis. In a large, diverse health system, the protocol achieved reductions in hypoglycemic events without increasing hyperglycemia or insulin use.
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