Glucose management in a community hospital

Hyperglycemic management in the inpatient setting has significant room for improvement. Insulin use was titrated too infrequently and often too late to improve patient care. Despite its record of ineffectiveness, the majority of patients in our study received sliding scale insulin as their only insulin therapy. Further research is needed to explore morbidity and mortality associated with the use of sliding scale insulin versus basal-bolus insulin, with the goal of achieving improved postprandial glucose control.