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The History of Inpatient Diabetes

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Diabetes Management in Hospitalized Patients

Abstract

Following the discovery of insulin in 1921 by Frederick Banting and Charles Best, the approach to inpatient diabetes care has evolved over time to optimize patient outcomes. Newer insulin formulations, modernized tools to quantify glycemia, advanced diabetes technologies, and research trials supporting a shift in clinical practice have marked important milestones throughout the history of diabetes. Despite the strong evidence in support of improved glycemic control in hospitalized patients, however, blood glucose control continues to be deficient and is often overlooked in general medicine and surgery services. This chapter provides insight into inpatient diabetes epidemiology, reviews the pivotal studies of inpatient diabetes management, outlines the history of major diabetes guidelines, describes specialized hospital-based diabetes teams, and summarizes the history and future of diabetes technology.

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Acknowledgments

DB and RSR have nothing to disclose for this chapter.

RJG is supported in part by grants from the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) of the National Institutes of Health (NIH) under award numbers P30DK111024-04S2 and 1K23DK123384-03. RJG received unrestricted research support (to Emory University) from Novo Nordisk, Eli Lilly, and Dexcom and consulting fees from Sanofi, Novo Nordisk, Eli Lilly, Pfizer, Boehringer, Bayer, and Weight Watchers.

GEU is partly supported by research grants from the National Center for Advancing Translational Sciences of the National Institutes of Health under award number UL1TR002378 and from the National Institutes of Health and National Center for Research Resources (NIH/NIDDK 2P30DK111024-06). GEU has received research support (to Emory University) from Bayer, Abbott, Sanofi, and Dexcom.

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Brooks, D., Schulman-Rosenbaum, R.C., Galindo, R., Umpierrez, G.E. (2023). The History of Inpatient Diabetes. In: Schulman-Rosenbaum, R.C. (eds) Diabetes Management in Hospitalized Patients. Contemporary Endocrinology. Springer, Cham. https://doi.org/10.1007/978-3-031-44648-1_1

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