Diabetes Care
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Diabetes Care 25:S109, 2002
© 2002 by the American Diabetes Association, Inc.

Position Statement

Hospital Admission Guidelines for Diabetes Mellitus*

American Diabetes Association


   INTRODUCTION
 
These guidelines are to be used for determining when a patient requires hospitalization for reasons related to diabetes. Inpatient care may be appropriate in the following situations:

  • Life-threatening acute metabolic complications of diabetes.
  • Newly diagnosed diabetes in children and adolescents.
  • Substantial and chronic poor metabolic control that necessitates close monitoring of the patient to determine the etiology of the control problem, with subsequent modification of therapy.
  • Severe chronic complications of diabetes that require intensive treatment or other severe conditions unrelated to diabetes that significantly affect its control or are complicated by diabetes.
  • Uncontrolled or newly discovered insulin-requiring diabetes during pregnancy.
  • Institution of insulin-pump therapy or other intensive insulin regimens.
Modification of fixed insulin-treatment regimens or sulfonylurea treatment is not, by itself, an indication for hospital admission.

Guidelines for hospital admission . . . [Full Text of this Article]


   ACUTE METABOLIC COMPLICATIONS OF DIABETES
 
Diabetic ketoacidosis
Hyperglycemic hyperosmolar state
Hypoglycemia with neuroglycopenia

   UNCONTROLLED DIABETES
 

   ADMISSION FOR COMPLICATIONS OF DIABETES OR FOR OTHER ACUTE MEDICAL CONDITIONS
 

   Footnotes
 

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Copyright © 2002 by the American Diabetes Association.