ASPEN Clinical Guideline: Blood Glucose Goal Range

What is the primary objective of the A.S.P.E.N. Clinical Guideline?

What is the consequence of attempting to correct hyperglycemia in hospitalized patients?

What is the recommended target blood glucose goal range for adult hospitalized patients receiving nutrition support?

What is the method used to develop the A.S.P.E.N. Clinical Guideline recommendations?

What is the definition of hypoglycemia in adult hospitalized patients receiving nutrition support?

What is the purpose of using diabetes-specific enteral formulas in hospitalized patients?

Hyperglycemia and Nutrition Support

Hyperglycemia is a common occurrence in adult hospitalized patients receiving nutrition support.
Both hyperglycemia and hypoglycemia are associated with adverse outcomes in diabetic and nondiabetic patients.

Guidelines for Glucose Control

The American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) recommends a target blood glucose goal range of 140–180 mg/dL (7.8–10 mmol/L) in adult hospitalized patients receiving nutrition support.
Hypoglycemia is defined as a blood glucose concentration of <70 mg/dL (3.9 mmol/L) in adult hospitalized patients receiving nutrition support.

Development of Clinical Guideline

A systematic review of the best available evidence was conducted to answer questions regarding glucose control in adults receiving parenteral or enteral nutrition.
The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) working group's concepts were used to evaluate the evidence.
A consensus process was used to develop the clinical guideline recommendations, which were then reviewed and approved by the A.S.P.E.N. Board of Directors.

This quiz is based on the ASPEN Clinical Guideline for the desired blood glucose goal range in hospitalized patients. It covers the risks of hyperglycemia and hypoglycemia, and provides evidence-based guidelines for nutrition support.