A Novel Algorithm for the Management of Inpatient COVID-19 Glucocorticoid-Induced Hyperglycemia
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posted on 2023-03-02, 23:54 authored by Alexander B. Karol, Natalia Viera, Selassie J. Ogyaadu, Danielle Brooks, Nirali A. Shah, Anne S. Linker, David W. Lam, Carol J. Levy, Grenye O’Malley<p> </p>
<p>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.</p>
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