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On June 12, the Endocrine Society released new guidance for management of hyperglycemia in adult patients in noncritical care settings, which are cosponsored by the AACE, ADA, ADCES, and ESE.
The Endocrine Society has released new guidance for the management of hyperglycemia in hospitalized adult patients in noncritical care settings.
Released on June 12 at the Endocrine Society’s 2022 annual meeting with the intent of replacing the Endocrine Society’s 2012 guidelines for inpatient hyperglycemia, the new guideline was cosponsored by multiple organizations, including the American Association of Clinical Endocrinologists, the American Diabetes Association, the Association of Diabetes Care and Education Specialists, the Diabetes Technology Society, and the European Society of Endocrinology.
“This guideline addresses several important aspects of care specific to inpatient management of non-critically ill patients with diabetes or newly recognized hyperglycemia that have the potential to improve clinical outcomes in the hospital as well as following discharge,” said chair of the guideline writing committee Mary Korytkowski, MD, professor of medicine and director of Quality Improvement in the Division of Endocrinology at the University of Pittsburgh, in a statement from the Endocrine Society.
Together with colleagues from institutions across the US, Canada, and Europe, Korytkowski and the multidisciplinary writing committee created the new guideline with the intent of providing clinicians with evidence-based recommendations as an update to the 2012 Management of Hyperglycemia in Hospitalized Patients in Non-Critical Care Settings: An Endocrine Society Clinical Practice Guideline and to highlight emerging areas of research related to hyperglycemia in adult patients noncritical care settings. At 28 pages in length and citing more than 130 reference documents, the recommendations within the guideline are backed by a systematic review performed by and based on a group of clinical questions formulated by the writing committee.
Simultaneously published alongside the guideline in the Journal of Clinical Endocrinology & Metabolism, the systematic review is 9 pages in length and was guided by the 10 questions formulated by the writing committee. The investigators’ initial search returned 7482 citations. From this group, investigators identified 94 studies reporting on 135,553 patients for inclusion. These studies were required to address at least 1 of 10 questions outlined by a guideline panel pertaining to management of hyperglycemia in noncritical care settings.
In total, the guideline provides 15 different recommendations or subrecommendations. In their aforementioned press releases, the Endocrine Society called attention to a group of 9 new additions to the guidelines. These highlighted additions were:
This guideline, “Management of Hyperglycemia in Hospitalized Adult Patients in Non-Critical Care Settings: An Endocrine Society Clinical Practice Guideline,” was published in the Journal of Clinical Endocrinology & Metabolism.