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Management of hyperglycaemia in hospitalized patients with type 2 diabetes mellitus

Glycaemic dysregulation during hospitalisation is associated with increased rate of complications and thus most hospitalised patients should maintain blood glucose levels of 5-10 mmol/l (90-180 mg/dl). In the Januar issue of Danish Medical Journal, Olsen et al review the regional Danish guidelines on in-hospital management of type 2 diabetes (T2DM), which all suggest treatment of hyperglycaemia using sliding scale insulin (SSI) adjusted for body weight. The paper concludes that Danish guidelines diverge from international guidelines, which recommend a basal-bolus regimen for most hospitalised patients with diabetes. The authors suggest that Danish regions consider replacing SSI with the internationally recommended basal-bolus regimen or basal-plus regimen for most non-critically ill hospitalised patients with T2DM.

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