| ||Unknown diabetes||Known diabetes||Followup|
|HA1c < 6.5%*||Assess diabetes risk factors. Counseling and outpatient screening within 3 months|| || |
|HA1c 6.5–7%* and insulin requirement < 0.4 units/kg/day||Counseling and outpatient screening within 3 months ± pharmacologic prevention**||Assess for hypoglycemia risk.|
Continue prehospital regime unless new safety concerns.
|Communicate recommendation to outpatient providers.|
Address need for referral to multidisciplinary care for diabetes treatment or prevention
|HA1c 6.5–7%* and insulin requirement ≥ 0.4 units/kg/day||Counseling and initiation of appropriate diabetes treatment plan || |
|HA1c > 7%*||Counseling and initiation of appropriate diabetes treatment plan ||Consider transient effect of subacute illness (e.g., angina) prior to hospitalization on HA1c. Consider advising augmentation of outpatient regimen to target <7%|| |