Diabetesmanagement im Krankenhaus (Update 2023)

This position statement presents the recommendations of the Austrian Diabetes Association for diabetes management of adult patients during inpatient stay. It is based on the current evidence with respect to blood glucose targets, insulin therapy and treatment with oral/injectable antidiabetic drugs during inpatient hospitalization. Additionally, special circumstances such as intravenous insulin therapy, concomitant therapy with glucocorticoids and use of diabetes technology during hospitalization are discussed. Dieses Positionspapier beinhaltet die Empfehlungen der Österreichischen Diabetes Gesellschaft zum Management von erwachsenen Patient:innen mit Diabetes mellitus während stationärer Aufenthalte und basiert auf aktueller Evidenz zu Blutglukosezielbereichen, Insulintherapie und Therapie mit oralen/injizierbaren Antidiabetika während stationärer Aufenthalte. Zusätzlich werden Spezialsituationen wie intravenöse Insulintherapie, begleitende Steroidtherapie sowie die Anwendung von Diabetestechnologie im stationären Bereich diskutiert.

• Publication year

  2023

• Venue

  Wiener Klinische Wochenschrift

• Publication date

  2023-01-01

• Fields of study

  Not labeled

• Identifiers
  DOI 10.1007/s00508-023-02177-5PMID 37101046PMCID 10133359
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Efficient and safe glycaemic control with basal‐bolus insulin therapy during fasting periods in hospitalized patients with type 2 diabetes using decision support technology: A post hoc analysis

  2021cited by this paper
• Feasibility of Real-Time Continuous Glucose Monitoring Telemetry System in an Inpatient Diabetes Unit: A Pilot Study

  2021cited by this paper
• 7. Diabetes Technology: Standards of Medical Care in Diabetes-2022.

  2021cited by this paper
• Managing Patients with Insulin Pumps and Continuous Glucose Monitors in the Hospital: to Wear or Not to Wear

  2021cited by this paper
• Glucose as the Fifth Vital Sign: A Randomized Controlled Trial of Continuous Glucose Monitoring in a Non-ICU Hospital Setting

  2020influential reference
• Comparison of the FreeStyle Libre Pro Flash Continuous Glucose Monitoring (CGM) System and Point-of-Care Capillary Glucose Testing in Hospitalized Patients With Type 2 Diabetes Treated With Basal-Bolus Insulin Regimen

  2020cited by this paper
• Reducing Inpatient Hypoglycemia in the General Wards Using Real-time Continuous Glucose Monitoring: The Glucose Telemetry System, a Randomized Clinical Trial

  2020cited by this paper
• A Pilot Study of the Feasibility and Accuracy of Inpatient Continuous Glucose Monitoring

  2020cited by this paper
• Inaccurate Glucose Sensor Values After Hydroxyurea Administration

  2020cited by this paper
• Continuous Glucose Monitors and Automated Insulin Dosing Systems in the Hospital Consensus Guideline

  2020cited by this paper
• Dulaglutide and cardiovascular outcomes in type 2 diabetes (REWIND): a double-blind, randomised placebo-controlled trial.

  2019cited by this paper
• Insulin Therapy in Hospitalized Patients.

  2019cited by this paper
• Advances in Glucose Monitoring and Automated Insulin Delivery: Supplement to Endocrine Society Clinical Practice Guidelines

  2018cited by this paper
• An Overview of Safety Issues on Use of Insulin Pumps and Continuous Glucose Monitoring Systems in the Hospital

  2018cited by this paper
• Diabetes Technology Update: Use of Insulin Pumps and Continuous Glucose Monitoring in the Hospital

  2018cited by this paper
• Closed‐Loop Insulin Delivery for Glycemic Control in Noncritical Care

  2018cited by this paper
• Recurrent hospitalizations for severe hypoglycemia and hyperglycemia among U.S. adults with diabetes.

  2018cited by this paper
• Consensus Statement on Use of Continuous Subcutaneous Insulin Infusion Therapy in the Hospital

  2018cited by this paper
• Albiglutide and cardiovascular outcomes in patients with type 2 diabetes and cardiovascular disease (Harmony Outcomes): a double-blind, randomised placebo-controlled trial.

  2018cited by this paper
• Early Hyperglycemia after Initiation of Glucocorticoid Therapy Predicts Adverse Outcome in Patients with Acute Graft-versus-Host Disease.

  2017cited by this paper
• Hospital Readmissions among Commercially Insured and Medicare Advantage Beneficiaries with Diabetes and the Impact of Severe Hypoglycemic and Hyperglycemic Events

  2017cited by this paper
• The global economic burden of diabetes in adults aged 20-79 years: a cost-of-illness study.

  2017cited by this paper
• Efficacy of sitagliptin for the hospital management of general medicine and surgery patients with type 2 diabetes (Sita-Hospital): a multicentre, prospective, open-label, non-inferiority randomised trial.

  2017cited by this paper
• Management of Type 1 Diabetes in the Hospital Setting

  2017cited by this paper
• Erratum. Diabetes Care in the Hospital. Sec. 14. In Standards of Medical Care in Diabetes—2017. Diabetes Care 2017;40(Suppl. 1);S120–S127

  2017cited by this paper
• A Mobile Computerized Decision Support System to Prevent Hypoglycemia in Hospitalized Patients With Type 2 Diabetes Mellitus

  2017cited by this paper
• Closed-loop insulin delivery in inpatients with type 2 diabetes: a randomised, parallel-group trial.

  2017cited by this paper
• Metformin‐associated lactic acidosis (MALA): Moving towards a new paradigm

  2017cited by this paper
• Prevalence and Distribution of Diabetes Mellitus in a Maximum Care Hospital: Urgent Need for HbA1c-Screening

  2017cited by this paper
• 14. Diabetes Care in the Hospital: Standards of Medical Care in Diabetes—2018

  2017cited by this paper
• Management of Inpatient Hyperglycemia and Diabetes in Older Adults

  2017cited by this paper
• Glucose Concentrations of Less Than 3.0 mmol/L (54 mg/dL) Should Be Reported in Clinical Trials: A Joint Position Statement of the American Diabetes Association and the European Association for the Study of Diabetes

  2016cited by this paper
• Empagliflozin, Cardiovascular Outcomes, and Mortality in Type 2 Diabetes.

  2016cited by this paper
• Semaglutide and Cardiovascular Outcomes in Patients with Type 2 Diabetes.

  2016cited by this paper
• Liraglutide and Cardiovascular Outcomes in Type 2 Diabetes.

  2016cited by this paper
• Management of patients with diabetes and CKD: conclusions from a "Kidney Disease: Improving Global Outcomes" (KDIGO) Controversies Conference.

  2016cited by this paper
• Impact of errors in paper-based and computerized diabetes management with decision support for hospitalized patients with type 2 diabetes. A post-hoc analysis of a before and after study

  2016cited by this paper
• Diabetic emergencies — ketoacidosis, hyperglycaemic hyperosmolar state and hypoglycaemia

  2016cited by this paper
• Risk factors for the development of glucocorticoid-induced diabetes mellitus.

  2015cited by this paper
• Intensive versus conventional glucose control in critically ill patients with traumatic brain injury: long-term follow-up of a subgroup of patients from the NICE-SUGAR study

  2015cited by this paper
• Prevalence and Impact of Unknown Diabetes in the ICU

  2015cited by this paper
• Empagliflozin, Cardiovascular Outcomes, and Mortality in Type 2 Diabetes.

  2015cited by this paper
• A guideline for the use of variable rate intravenous insulin infusion in medical inpatients

  2015cited by this paper
• Standardized Glycemic Management with a Computerized Workflow and Decision Support System for Hospitalized Patients with Type 2 Diabetes on Different Wards

  2015cited by this paper
• Taking a Closer Look—Continuous Glucose Monitoring in Non-Critically Ill Hospitalized Patients with Type 2 Diabetes Mellitus Under Basal-Bolus Insulin Therapy

  2015cited by this paper
• Steroid hyperglycemia: Prevalence, early detection and therapeutic recommendations: A narrative review.

  2015cited by this paper
• Insulin Pump Patient Characteristics and Glucose Control in the Hospitalized Setting

  2014cited by this paper
• Glucocorticoid‐induced hyperglycemia (糖皮质激素诱导的高血糖)

  2014cited by this paper
• In-hospital management of adults using insulin pump therapy.

  2014cited by this paper
• Steroid diabetes: from mechanism to treatment?

  2014cited by this paper
• Temporal Trend in Hospitalizations for Acute Diabetic Complications: A Nationwide Study, Italy, 2001–2010

  2013cited by this paper
• Failure to Control Hyperglycemia in NonCritically Ill Diabetes Patients despite Standard Glycemic Management in a Hospital Setting

  2013cited by this paper
• Safety and Efficacy of Sitagliptin Therapy for the Inpatient Management of General Medicine and Surgery Patients With Type 2 Diabetes

  2013cited by this paper
• Approach to the adult hospitalized patient on an insulin pump.

  2013cited by this paper
• Hypoglycemia in Hospitalized Patients Treated with Sulfonylureas

  2012cited by this paper
• Management of hyperglycemia in hospitalized patients in non-critical care setting: an endocrine society clinical practice guideline.

  2012cited by this paper
• Transitioning Insulin Pump Therapy from the Outpatient to the Inpatient Setting: A Review of 6 Years' Experience with 253 Cases

  2012cited by this paper
• Update on inpatient glycemic control in hospitals in the United States.

  2011cited by this paper
• Weight-Based, Insulin Dose–Related Hypoglycemia in Hospitalized Patients With Diabetes

  2011cited by this paper
• Contrast induced nephropathy: updated ESUR Contrast Media Safety Committee guidelines

  2011cited by this paper
• Standards of Medical Care in Diabetes—2012

  2011cited by this paper
• Continuous glucose monitoring: an Endocrine Society Clinical Practice Guideline.

  2011cited by this paper
• Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology.

  2011cited by this paper
• Statement by the American Association of Clinical Endocrinologists Consensus Panel on insulin pump management.

  2010cited by this paper
• Projection of the year 2050 burden of diabetes in the US adult population: dynamic modeling of incidence, mortality, and prediabetes prevalence

  2010cited by this paper
• Prevalence and Clinical Outcome of Hyperglycemia in the Perioperative Period in Noncardiac Surgery

  2010cited by this paper
• Hyperglycemia–related mortality in critically ill patients varies with admission diagnosis*

  2009cited by this paper
• American Association of Clinical Endocrinologists and American Diabetes Association consensus statement on inpatient glycemic control.

  2009cited by this paper
• Comparison of inpatient insulin regimens with detemir plus aspart versus neutral protamine hagedorn plus regular in medical patients with type 2 diabetes.

  2009cited by this paper
• Patient outcomes after implementation of a protocol for inpatient insulin pump therapy.

  2009cited by this paper
• American Association of Clinical Endocrinologists and American Diabetes Association Consensus Statement on Inpatient Glycemic Control

  2009cited by this paper
• Glucocorticoid-induced hyperglycemia.

  2009cited by this paper
• Stress hyperglycaemia.

  2009cited by this paper
• Normal Glucose Values Are Associated With a Lower Risk of Mortality in Hospitalized Patients

  2008cited by this paper
• Randomized Study of Basal-Bolus Insulin Therapy in the Inpatient Management of Patients With Type 2 Diabetes (RABBIT 2 Trial)

  2008cited by this paper
• Intensive intraoperative insulin therapy versus conventional glucose management during cardiac surgery.

  2007cited by this paper
• Intensive Intraoperative Insulin Therapy versus Conventional Glucose Management during Cardiac Surgery

  2007cited by this paper
• Utilization of a Computerized Intravenous Insulin Infusion Program to Control Blood Glucose in the Intensive Care Unit

  2007cited by this paper
• Management of inpatient hyperglycemia: assessing perceptions and barriers to care among resident physicians.

  2007cited by this paper
• Clinical practice. Management of hyperglycemia in the hospital setting.

  2006cited by this paper
• Intensive Insulin Therapy in Mixed Medical/Surgical Intensive Care Units

  2006cited by this paper
• The impact of early-diagnosed new-onset post-transplantation diabetes mellitus on survival and major cardiac events.

  2006cited by this paper
• The relation between hyperglycemia and outcomes in 2,471 patients admitted to the hospital with community-acquired pneumonia.

  2005cited by this paper
• Basal bolus dosing: a clinical experience.

  2005cited by this paper
• Implementation of a safe and effective insulin infusion protocol in a medical intensive care unit.

  2004cited by this paper
• Management of diabetes and hyperglycemia in hospitals.

  2004cited by this paper
• The rationale and management of hyperglycemia for in-patients with cardiovascular disease: time for change.

  2003cited by this paper
• Continuous insulin infusion reduces mortality in patients with diabetes undergoing coronary artery bypass grafting.

  2003cited by this paper
• Association between hyperglycemia and increased hospital mortality in a heterogeneous population of critically ill patients.

  2003cited by this paper
• Hyperglycemia: an independent marker of in-hospital mortality in patients with undiagnosed diabetes.

  2002cited by this paper
• Intensive insulin therapy in critically ill patients.

  2001cited by this paper
• Hospitalizations for people with type 1 and type 2 diabetes compared with the nondiabetic population of Tayside, Scotland: a retrospective cohort study of resource use.

  2000cited by this paper
• An overview of diabetes mellitus in older persons.

  1999cited by this paper
• Continuous intravenous insulin infusion reduces the incidence of deep sternal wound infection in diabetic patients after cardiac surgical procedures.

  1999cited by this paper
• Diabetes mellitus among ethnic seniors: contrasts with diabetes in whites.

  1999cited by this paper
• Hospital Use Among Diabetic Patients and the General Population

  1994cited by this paper
• Stress hyperglycaemia.

  1984cited by this paper
• Definition of clinically relevant lactic acidosis in patients with internal diseases.

  1983cited by this paper
• Management of patients with diabetes and CKD

  year unknowncited by this paper

• Diabetes im Krankenhaus

  2025cites this paper
• Hitze und Diabetes: klinische Perspektive

  2025cites this paper
• Diabetes in Hospitals

  2025cites this paper
• Glukokortikoidanwendung und Diabetes mellitus – Pathogenese, Diagnostik und Therapie

  2025cites this paper
• Crisis hiperglucémica inducida por corticoides

  2025cites this paper
• Diabetes im Krankenhaus

  2024influential citation
• Diabetes im Krankenhaus

  2024influential citation