Hospital admission guidelines for diabetes *

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Date: Jan. 2004
From: Diabetes Care(Vol. 27, Issue 1)
Publisher: American Diabetes Association
Document Type: Article
Length: 681 words

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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 are given below. Guidelines are never a substitute for medical judgment, and each patient's total clinical and psychosocial circumstances must be considered in their application. Therefore, there may be situations in which admission is appropriate, although the patient's clinical profile...

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Gale Document Number: GALE|A112312408