Management of Diabetes and Hyperglycemia in the Hospital: A Systematic Review of Clinical Practice Guidelines
Authors' conclusion
While there is consensus on inpatient blood glucose monitoring and use of basal-bolus insulin, there is disagreement on treatment targets and use of home medications and little guidance on how to transition treatment at discharge.
Study context
- Population
- Clinical practice guidelines on blood glucose management in hospitalized adults; MEDLINE, Guidelines International Network and specialty society websites, 1 January 2010 to 14 August 202410 organizations' guidelines
- Outcome
- Guideline recommendations on inpatient hyperglycemia management
Methodological detailsAGREE II quality appraisal, Two authors screened and extracted data; three assessed guideline quality
- AGREE II quality appraisal
- Two authors screened and extracted data; three assessed guideline quality
Pooled result
As reported in the abstract
- Guidelines meeting inclusion criteria (organizations)
- 10
- High quality per AGREE II
- 5
- Recommended BG monitoring for patients with diabetes
- All guidelines
- Recommended BG monitoring for admission hyperglycemia
- 9
- Upper BG target of 180 mg/dL
- 8
- Lower limit 100 mg/dL
- 5
- Lower limit 140 mg/dL
- 3
- Agreement on capillary BG monitoring; continuous monitoring discussed
- 3
- Basal-bolus insulin alone recommended
- 3
- Basal-bolus insulin with correction recommended
- 5
- Sliding scale insulin advised against
- 5
- Discussed transitioning to home medications
- 5
Original publication
Management of Diabetes and Hyperglycemia in the Hospital: A Systematic Review of Clinical Practice Guidelines. Diabetes Care. Published 21 March 2025. doi:10.
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