Matches in SemOpenAlex for { <https://semopenalex.org/work/W2317543399> ?p ?o ?g. }
- W2317543399 endingPage "471" @default.
- W2317543399 startingPage "466" @default.
- W2317543399 abstract "Tight glycemic control is now an imperative of outpatient diabetes care. The inpatient arena remains under the influence of an ineffective paradigm characterized by tolerance for hyperglycemia and a reluctance to use insulin intensively. This article is a call to action against the lip service paid to inpatient diabetes care. The compelling in vitro and in vivo evidence for the benefit of intensive insulin-mediated glycemic control is summarized. The linchpin of current inpatient care is a commonly used insulin sliding scale. This autopilot approach as the sole mode of treatment for inpatient hyperglycemia has been strongly condemned. Nevertheless, it continues to survive. The evidence supports the compelling argument that the adverse effect of hyperglycemia on hospital length of stay, morbidity, and mortality is substantial. Clinicians, nurses, administrators, and insurers ought to look critically at the prevailing paradigm and spearhead the much-needed revolution in inpatient diabetology. The issue of glycemic targets, the need for noninvasive blood glucose monitoring, and the role of nursing staff in this revolution are raised. We call for the banning of the insulin sliding scale use as the sole diabetes order. Also, the use of basal insulin via continuous intravenous insulin infusion or subcutaneous insulin analogs should be embraced. Educating nurses, house staff, and other frontline professionals in the adverse consequences of the current paradigm is essential. Inpatient glycemic control matters; clinical and financial outcomes are at stake. It behooves the health care system and the diabetic public to address the contemporary state of inpatient diabetology as soon as possible." @default.
- W2317543399 created "2016-06-24" @default.
- W2317543399 creator A5044074596 @default.
- W2317543399 creator A5066402462 @default.
- W2317543399 creator A5069539045 @default.
- W2317543399 date "2004-05-01" @default.
- W2317543399 modified "2023-10-11" @default.
- W2317543399 title "Inpatient diabetology" @default.
- W2317543399 cites W171569806 @default.
- W2317543399 cites W1966171656 @default.
- W2317543399 cites W1967822795 @default.
- W2317543399 cites W1970122264 @default.
- W2317543399 cites W1972352298 @default.
- W2317543399 cites W1980717583 @default.
- W2317543399 cites W1981441027 @default.
- W2317543399 cites W1983681292 @default.
- W2317543399 cites W1986577961 @default.
- W2317543399 cites W1989295984 @default.
- W2317543399 cites W1992255868 @default.
- W2317543399 cites W1994875866 @default.
- W2317543399 cites W2000543257 @default.
- W2317543399 cites W2012928421 @default.
- W2317543399 cites W2013526971 @default.
- W2317543399 cites W2026047483 @default.
- W2317543399 cites W2027702390 @default.
- W2317543399 cites W2043315979 @default.
- W2317543399 cites W2047452649 @default.
- W2317543399 cites W2053700636 @default.
- W2317543399 cites W2054994990 @default.
- W2317543399 cites W2055444312 @default.
- W2317543399 cites W2056017497 @default.
- W2317543399 cites W2059736175 @default.
- W2317543399 cites W2063595239 @default.
- W2317543399 cites W2066136931 @default.
- W2317543399 cites W2069427959 @default.
- W2317543399 cites W2075534057 @default.
- W2317543399 cites W2082525530 @default.
- W2317543399 cites W2083314209 @default.
- W2317543399 cites W2088624742 @default.
- W2317543399 cites W2088667548 @default.
- W2317543399 cites W2089827757 @default.
- W2317543399 cites W2090186078 @default.
- W2317543399 cites W2092860487 @default.
- W2317543399 cites W2098313694 @default.
- W2317543399 cites W2109243238 @default.
- W2317543399 cites W2118730621 @default.
- W2317543399 cites W2129811599 @default.
- W2317543399 cites W2130593861 @default.
- W2317543399 cites W2133803133 @default.
- W2317543399 cites W2134020731 @default.
- W2317543399 cites W2142983298 @default.
- W2317543399 cites W2149451692 @default.
- W2317543399 cites W2158721215 @default.
- W2317543399 cites W2162268531 @default.
- W2317543399 cites W2166653964 @default.
- W2317543399 cites W2327527152 @default.
- W2317543399 cites W2508435600 @default.
- W2317543399 cites W2973596107 @default.
- W2317543399 cites W3205533153 @default.
- W2317543399 cites W4229921485 @default.
- W2317543399 cites W4230495280 @default.
- W2317543399 cites W4236404839 @default.
- W2317543399 cites W4244472847 @default.
- W2317543399 cites W4247415754 @default.
- W2317543399 cites W4250904513 @default.
- W2317543399 cites W4253731276 @default.
- W2317543399 cites W4254030929 @default.
- W2317543399 cites W4300987042 @default.
- W2317543399 cites W73990277 @default.
- W2317543399 doi "https://doi.org/10.1111/j.1525-1497.2004.30133.x" @default.
- W2317543399 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/1492248" @default.
- W2317543399 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/15109346" @default.
- W2317543399 hasPublicationYear "2004" @default.
- W2317543399 type Work @default.
- W2317543399 sameAs 2317543399 @default.
- W2317543399 citedByCount "22" @default.
- W2317543399 countsByYear W23175433992012 @default.
- W2317543399 countsByYear W23175433992016 @default.
- W2317543399 countsByYear W23175433992019 @default.
- W2317543399 countsByYear W23175433992021 @default.
- W2317543399 crossrefType "journal-article" @default.
- W2317543399 hasAuthorship W2317543399A5044074596 @default.
- W2317543399 hasAuthorship W2317543399A5066402462 @default.
- W2317543399 hasAuthorship W2317543399A5069539045 @default.
- W2317543399 hasBestOaLocation W23175433992 @default.
- W2317543399 hasConcept C126322002 @default.
- W2317543399 hasConcept C134018914 @default.
- W2317543399 hasConcept C159110408 @default.
- W2317543399 hasConcept C160735492 @default.
- W2317543399 hasConcept C162324750 @default.
- W2317543399 hasConcept C177713679 @default.
- W2317543399 hasConcept C2775909303 @default.
- W2317543399 hasConcept C2779306644 @default.
- W2317543399 hasConcept C2779851975 @default.
- W2317543399 hasConcept C2780473172 @default.
- W2317543399 hasConcept C2780668416 @default.
- W2317543399 hasConcept C50522688 @default.
- W2317543399 hasConcept C555293320 @default.