2.2.0.0. Con­sid­er­a­tions on Ad­mis­sion

Ini­tial or­ders should state the type of di­a­betes (i.e., type 1 or type 2 di­a­betes) or no pre­vi­ous his­to­ry of di­a­betes. Be­cause in­pa­tient in­sulin use (5) and dis­charge or­ders (6) can be more ef­fec­tive if based on an A1C level on ad­mis­sion (7), per­form an A1C test on all pa­tients with di­a­betes or hy­per­glycemia ad­mit­ted to the hos­pi­tal if the test has not been per­formed in the prior 3 months (8). In ad­di­tion, di­a­betes self-‍man­age­ment knowl­edge and be­hav­iors should be as­sessed on ad­mis­sion and di­a­betes self-‍man­age­ment ed­u­ca­tion should be pro­vided, if ap­pro­pri­ate. Di­a­betes self-‍man­age­ment ed­u­ca­tion should in­clude ap­pro­pri­ate skills need­ed after dis­charge, such as tak­ing an­ti­hy­per­glycemic med­i­ca­tions, mon­i­tor­ing glu­cose, and rec­og­niz­ing and treat­ing hy­po­glycemia (2).