American college of endocrinology position statement on inpatient diabetes and metabolic control

Hyperglycemia in hospitalized patients is a common, serious, and costly health care problem with profound medical consequences. Data from multiple studies confirm that hospitalized patients with hyperglycemia suffer significant excess mortality and morbidity, prolonged length of stay, unfavorable postdischarge outcomes, and significant excess health care costs. Randomized controlled inpatient clinical trials as well as prospective observational and retrospective studies have demonstrated improved outcomes resulting from more aggressive management of hyperglycemia. The American College of Endocrinology, the American Association of Clinical Endocrinologists, and the cosponsoring organizations strongly support the need for early detection of hyperglycemia in the hospital and an aggressive management approach to improve outcomes.