SEATTLE, April 16 -- Aggressive glucose control with subcutaneous insulin in non-critically ill hospitalized patients results in better outcomes and may significantly reduce hospital stays, reported investigators here.
In a study comparing individualized hyperglycemia management in non-critically ill hospitalized patients with a glucose-management protocol, the protocol-driven management resulted in better glycemic control than standard care, said Alicia Leung, M.D., of the John H. Stroger, Jr., Hospital of Cook County in Chicago.
Patients eligible were those hospitalized for surgical debridement of diabetic foot ulcers. Those who were randomly assigned to the protocol also had hospital stays that were shorter by 2.3 days than those of patients who received individualized glycemic management, but the study was not sufficiently large enough to show statistical significance, the authors reported in a poster presentation at the American Association of Clinical Endocrinologists annual meeting.
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