F33 - Simplify Inpatient Protocols and Glycemic Management Processes

Inpatient diabetes management is challenging for many hospitals and practitioners. Some large academic centers around the United States have specialized diabetes teams, diabetes technology such as continuous glucose monitoring (CGM), telehealth consultations, and even endocrine hospitalists available to tackle the challenge of inpatient hyperglycemia. However, most people with diabetes in the United States receive their inpatient care at small community hospitals, where robust (and complex) guidelines and inpatient glycemic protocols may not have significantly changed the culture of glycemic management. So why is glycemic management still such a challenge? Are available practice guidelines too cumbersome and complex? Is the implementation of subcutaneous basal-bolus insulin therapy too difficult? How can we simplify inpatient protocols and management processes?