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- Title
A Novel Algorithm for the Management of Inpatient COVID-19 Glucocorticoid-Induced Hyperglycemia.
- Authors
Karol, Alexander B.; Viera, Natalia; Ogyaadu, Selassie J.; Brooks, Danielle; Shah, Nirali A.; Linker, Anne S.; Lam, David W.; Levy, Carol J.; O'Malley, Grenye
- Abstract
Hyperglycemia in hospitalized patients with coronavirus disease 2019 (COVID-19) is linked to increased morbidity and mortality. This article reports on a novel insulin titration protocol for the management of glucocorticoid-induced hyperglycemia in hospitalized patients with COVID-19. Sixty-five patients with COVID-19 and glucocorticoid-induced hyperglycemia admitted after the protocol implementation were matched 1:1 to patients admitted before the treatment protocol rollout for analysis. In a large, diverse health system, the protocol achieved reductions in hypoglycemic events without increasing hyperglycemia or insulin use.
- Subjects
INSULIN therapy; GLUCOCORTICOIDS; COVID-19; HYPERGLYCEMIA; GLYCEMIC control; VOLUMETRIC analysis; DISEASES; MEDICAL protocols; HYPOGLYCEMIA; ALGORITHMS
- Publication
Clinical Diabetes, 2023, Vol 41, Issue 3, p378
- ISSN
0891-8929
- Publication type
Article
- DOI
10.2337/cd22-0083