Cause of hyperglycemia identified on main ED workup. 

No severe laboratory derangements

•  pH > 7.35

• CO2 > 18

• Anion Gap < 15

• K+ > 3.0

 Serum glucose > 350

No change in mental status

Diabetic ketoacidosis with anion gap > 15 or serum bicarbonate < 18

 Severe infection or other condition as cause of hyperglycemia

 Hyperglycemia requiring a continuous insulin infusion

 Altered mental status

 History of end stage renal disease or CHF precluding aggresive intravenous hydration

 Unstable vital signs

Stable vital signs

 Improvement in clinical condition

 Reassuring diagnostic testing

 Able to tolerate oral intake

Unstable vital signs

 Worsening in clinical condition

 Worsening diagnostic testing requiring further management

 At the discretion of CDU providers or consultants