1.0.0.0 In­tro­duc­tion

The Amer­i­can Di­a­betes As­so­ci­a­tion (ADA) “Stan­dards of Med­i­cal Care in Di­a­betes” in­cludes ADA’s cur­rent clin­i­cal prac­tice rec­om­men­da­tions and is in­tend­ed to pro­vide the com­po­nents of di­a­betes care, gen­er­al treat­ment goals and guide­lines, and tools to eval­u­ate qual­i­ty of care. Mem­bers of the ADA Pro­fes­sion­al Prac­tice Com­mit­tee, a mul­ti­dis­ci­plinary ex­pert com­mit­tee, are re­spon­si­ble for up­dat­ing the Stan­dards of Care an­nu­al­ly, or more fre­quent­ly as war­rant­ed. For a de­tailed de­scrip­tion of ADA stan­dards, state­ments, and re­ports, as well as the ev­i­dence-‍grad­ing sys­tem for ADA’s clin­i­cal prac­tice rec­om­men­da­tions, please refer to the Stan­dards of Care In­tro­duc­tion. Read­ers who wish to com­ment on the Stan­dards of Care are in­vit­ed to do so at pro­fes­sion­al.di­a­betes.org/‍SOC.

In the hos­pi­tal, both hy­per­glycemia and hy­po­glycemia are as­so­ci­at­ed with ad­verse out­comes, in­clud­ing death (1,2). There­fore, in­pa­tient goals should in­clude the pre­ven­tion of both hy­per­glycemia and hy­po­glycemia. Hos­pi­tals should pro­mote the short­est safe hos­pi­tal stay and pro­vide an ef­fec­tive tran­si­tion out of the hos­pi­tal that pre­vents acute com­pli­ca­tions and read­mis­sion.

For in-‍depth re­view of in­pa­tient hos­pi­tal prac­tice, con­sult re­cent re­views that focus on hos­pi­tal care for di­a­betes (3,4).