Session: S58-Glycemic Control in the Hospital: Special Considerations
Room 307 (Moscone Center)
Solid organ transplantation is performed on many individuals who have or are at risk for diabetes. Glycemic control improves outcomes for many types of hospitalized patients, whether or not they have diabetes or a recent transplant. However, achieving desired glycemic goals after transplant can be very challenging, due to the pain and stress of surgery, the impact of intermittent immune suppression medications, inconsistent nutrition, intermittent infections, and changing kidney function. Intravenous insulin algorithms; strategies for transition to intermittent, subcutaneous insulin; timely initiation of oral and other non-insulin diabetes therapies when not contra-indicated; and patient-focused diabetes education are all required. The health professional managing glucose control in this setting needs to work closely with the transplant team and be armed with a “tool box” of strategies to address the multiple scenarios common to transplant recipients.
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