PICO question | GDP members with potentially pertinent conflicts related to the PICO |
---|---|
1. Should continuous glucose monitoring (with confirmatory point of care blood glucose monitoring for adjustments in insulin dosing) vs bedside capillary blood glucose monitoring be used for adults with diabetes hospitalized for noncritical illness? | Hirsch |
2. Should neutral protamine hagedorn insulin regimens vs basal bolus insulin regimens be used for adults with hyperglycemia (with and without known diabetes) hospitalized for noncritical illness receiving glucocorticoids? | Luger, Umpierrez |
3. Should continuous subcutaneous insulin infusion pump therapy be continued vs transitioning to scheduled subcutaneous insulin therapy for adults with diabetes on pump therapy who are hospitalized for noncritical illness? | Hirsch |
4. Should inpatient diabetes education be provided vs not provided before discharge for adults with diabetes hospitalized for noncritical illness? | None |
5. Should prespecified preoperative blood glucose and/or hemoglobin A1c levels be targeted for adults with diabetes undergoing elective surgical procedures? | None |
6. Should basal or basal bolus insulin vs neutral protamine hagedorn insulin be used for adults hospitalized for noncritical illness receiving enteral nutrition with diabetes-specific and nonspecific formulations? | Luger, Umpierrez |
7. Should noninsulin therapies (metformin, sulfonylureas, thiazolidinediones, dipeptidylpeptidase-4 inhibitors, glucagon-like peptide-1 receptor agonists, sodium-glucose cotransporter-2 inhibitors) vs scheduled insulin therapies be used for adults with hyperglycemia (with and without known type 2 diabetes) hospitalized for noncritical illness? | Luger, Umpierrez |
8. Should caloric carbohydrate–containing oral fluids vs noncaloric beverages be used preoperatively for adults with diabetes undergoing planned elective surgical procedures? | None |
9. Should carbohydrate counting for prandial insulin dosing vs no carbohydrate counting (other insulin-dosing regimen) be used for adults with diabetes hospitalized for noncritical illness? | None |
10. Should correctional insulin vs correctional insulin and scheduled insulin therapy (as basal bolus insulin or basal insulin with correctional insulin) be used for adults with hyperglycemia (with and without known diabetes) hospitalized for noncritical illness? | Luger, Umpierrez |
Abbreviation: GDP, Guideline Development Panel.