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Inpatient diabetes mellitus: Institutional progress in management of an emerging hospital epidemic

Assess changes in glycemic control and basal-bolus insulin use over 4 years in an academic teaching hospital. Methods: Point-of-care glucose and insulin administration data were obtained from electronic health records for patients with diabetes mellitus (DM) discharged from 2011 through 2014. Changes in patient-stay mean glucose, frequency of hyperglycemic measurements, and basal-bolus insulin therapy were evaluated. Results: There were 5,386 discharges with a DM diagnosis. No demographic differences were detected across the 4 years. The frequency of hyperglycemia and patient-stay mean glucose both declined significantly (P ? .02).

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