Use of Insulin in the Inpatient Setting: Need for Continued Use

Smita Kumar, Mark E. Molitch*

*Corresponding author for this work

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

Purpose of Review: Insulin has been the standard of care for the management of inpatient diabetes for achieving strict glycemic control. This review supports continuing insulin therapy for hyperglycemic management in the hospital compared with the use of non-insulin treatment regimens. Recent Findings: Oral hypoglycemic agents and glucagon-like peptide 1 (GLP-1) receptor agonists have typically not been used in the inpatient setting. Recent studies regarding DPP-4 inhibitors have led to variable results with fairly high glycemic values during the hospitalization. Similarly, studies looking at GLP-1 receptor agonists are limited, but gastrointestinal side effects limit their inpatient use. Summary: Overall, there is a paucity of data to support the use of non-insulin-based therapy in the inpatient setting. Insulin has repeatedly demonstrated that its advantageous quality of being easily titratable leads to more consistently efficacious glycemic control that improves morbidity and mortality.

Original languageEnglish (US)
Article number64
JournalCurrent diabetes reports
Volume19
Issue number9
DOIs
StatePublished - Sep 1 2019

Keywords

  • Diabetes mellitus
  • Hospital
  • Hyperglycemia
  • Inpatient
  • Insulin

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

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