There is no need to treat the glucose "number" in the emergency setting (i.e. with insulin)
Higher discharge glucose levels are not associated with a greater risk of repeated ED visits, hospitalization, or other adverse outcomes.
Higher discharge glucose levels are not associated with a greater risk of repeated ED visits, hospitalization, or other adverse outcomes.
1st line: Metformin 500mg BID → 1000mg BID, do not give in people with abnormal LFT's, CHF Stage 3/4 and ARI, CKD
2nd Agent: Glipizide start 2.5mg BID → 5mg BID, need to monitor for hypoglycemia
3rd Agent: Pioglitazone
After 3 agents: need to start insulin if not controlled
NPH BID or Lantus Qday (0.1 to 0.2mg/kg) and titrate to Fasting Blood Sugar
NPH BID or Lantus Qday (0.1 to 0.2mg/kg) and titrate to Fasting Blood Sugar
Nonketotic hyperglycemia
Physiologic stress response 
Starvation ketoacidosis
Diabetes mellitus 
Hyperosmolar hyperglycemic state
Hypoglycemia
Hyperosmolar hyperglycemic state 
Metformin-associated lactic acidosis