This article will resonate with patients that have diabetes and have been hospitalized in the past. Ask any of these patients and most will say that their blood sugars ran high or were uncontrolled while they were hospitalized. This occurs frequently and there multiple reasons for this:

  1. Acute Illness: most patients that are in the hospital are admitted for an acute illness. This may be an infection or an exacerbation of an inflammatory condition. Under these circumstances elevated blood sugar levels often accompany the acute illness stage.
  2. Medication Induced: there is an extensive list of medications that cause elevation in blood sugar levels; however, the most common of these drug classes is steroids. Patients often receive high doses of steroids and regardless of the presence of diabetes sugars often rise significantly.
  3. A Moving Target: in type 2 diabetes the cause of the condition is due to insulin resistance; because it is a fluctuating level of resistance as opposed to a set deficiency determining the dose of insulin to be administered is challenging for most physicians as they often do not measure insulin resistance while patients are hospitalized.

These reasons help to explain why patients that are in the hospital more often than not will have blood sugar levels above 180 and even 200. In fact, many hospitals across the country recognize the importance of the level of blood sugars while hospitalized and have campaigns to attempt to control them. Additionally, many hospitals across the country have diabetes educators that see patients while in the hospital to provide a resource for diabetic needs. Despite the 24/7 nursing care and the multiple physician evaluations the reasons above serve as the explanation for high sugars while being hospitalized.


The Metabolism Clinic is established as the destination for weight loss and reversal of diabetes. Based in Charlotte, North Carolina.