Bridge Over Troubled Waters: Safe and Effective Transitions of the Inpatient with Hyperglycemia

摘要

Professional and patient safety organizations have recognized the importance of safe transitions as patients move through the health care system, and such attention is even more critical when attempting to achieve glycemic control. Since the publication of the Diabetes Control and Complications Trial (DCCT) and the United Kingdom Prospective Diabetes Study (UKPDS), we have known that intensive glycemic control in the ambulatory setting prevents complications in both type 1 and type 2 diabetes mellitus (DM). Despite the increased risk of hypo-glycemia, these trials changed practice patterns in the outpatient settings in favor of intensification of diabetes therapy.