Sec­tion 16. Di­a­betes Care in the Hos­pi­tal

(https:/​/​doi.org/​10.2337/​dc23-​S016)

In Rec­om­men­da­tion 16.2, ad­di­tion­al in­for­ma­tion was added to sup­port the use of com­put­er­ized pre­scriber or­der en­try (CPOE) to fa­cil­i­tate glycemic man­age­ment as well as in­sulin dos­ing al­go­rithms us­ing ma­chine learn­ing in the fu­ture to in­form these al­go­rithms.

In Rec­om­men­da­tion 16.5, the need for in­di­vid­u­al­iza­tion of tar­gets was ex­pand­ed to in­clude a tar­get range of 100–180 mg/​dL (5.6–10.0 mmol/​L) for non­crit­i­cal­ly ill pa­tients with “new“ hy­per­glycemia as well as pa­tients with known di­a­betes pri­or to ad­mis­sion.

Rec­om­men­da­tion 16.7 was re­vised to reflect that an in­sulin reg­i­men with basal, pran­di­al, and cor­rec­tion com­po­nents is the pre­ferred treat­ment for most non-­crit­i­cal­ly ill hos­pi­tal­ized pa­tients with ad­e­quate nu­tri­tion­al in­take.

Use of per­son­al CGM and au­to­mat­ed in­sulin de­liv­ery de­vices that can au­to­mat­i­cal­ly de­liv­er cor­rec­tion in­sulin dos­es and change basal in­sulin de­liv­ery rates in real time should be sup­port­ed dur­ing hos­pi­tal­iza­tion when in­de­pen­dent self-​man­age­ment is fea­si­ble and prop­er man­age­ment su­per­vi­sion is avail­able.