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Hypoglycemia and hyperglycemia in hospitalized patients are associated with worse patient outcomes. To improve glycemic control, many hospitals have implemented inpatient diabetes teams. Investigators in Australia randomized eight wards (1 cardiology, 1 neurology, 2 general medicine, and 4 surgical) to adopt an early-intervention model or to deliver usual care. The intervention involved electronic identification of patients with preexisting diabetes or hyperglycemia, with the goal of management within 24 hours by an inpatient team consisting of a diabetes nurse and an endocrinologist.
About 1000 patients were admitted during the study period. In the intervention arm, the proportion of patients who received new insulin treatment rose from 34%…