Inpatient Diet Orders and Continuous Glucose Monitoring in Noncritically Ill, Hospitalized Adult Patients
Authors' conclusion
Inpatient diet orders are modestly associated with 24-hour CGM-derived glycemic measures adjusted by insulin therapy and other related medications. Future research is needed to standardize diet order classifications and assess their impact on inpatient glycemic management.
Study context
- Population
- Noncritically ill hospitalized adults, primarily medical units; mean age 60.7 years, BMI 38.5 kg/m², 36.4% female, 77.4% T2Danalytical sample
- Participants
- 283 participants
- Comparison
- Inpatient diet order categories vs regular diet
- Primary endpoint
- Percent TIR (70-180 mg/dL)
Methodological detailsmultivariate linear mixed-effects models, Diet orders extracted from clinical documentation and standardized into 11 general categories
- Multivariate linear mixed-effects models
- Diet orders extracted from clinical documentation and standardized into 11 general categories
Primary result
As reported in the abstract
TIR
- Regular diet with restrictions associated with lower TIR vs regular diet
- Adjusted for demographics, insulin therapy and other relevant medications
Secondary outcomes
TAR
- Regular diet with restrictions associated with higher TAR vs regular diet
TBR
- Diabetic and liquid diets associated with higher TBR vs regular diet
Glycemic variability
- Glucose variability did not differ across diet orders
Continuous glucose monitoring (CGM) measures and insulin therapy use
- CGM-derived glycemic measures and insulin therapy use varied significantly across diet orders
Original publication
Inpatient Diet Orders and Continuous Glucose Monitoring in Noncritically Ill, Hospitalized Adult Patients. Endocr Pract. Published 11 September 2025. doi:10.
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