Oral Hydration for Mild to Moderate Hyperglycemia in the Emergency Department

Exclusion Criteria

• •Patients with evidence of DKA (hyperglycemia with ketonuria and abnormal pH or bicarbonate on venous blood gas), HHS, or other critical illnesses requiring immediate medical attention (as determined by ED triage nurses),
• •end-stage renal disease requiring dialysis through an arterio-venous shunt or fistula,
• •abnormal mental status (GCS \< 15),
• •unstable vital signs including pulse \> 100, SBP \< 100, respiratory rate\>20, (or any combination of vital signs not meeting these cutoffs but deemed worrisome by the triage nurse) or unable to tolerate oral intake/actively vomiting.
• •Patients who receive IV fluids prior to or during the study period.
• •Patients unable to communicate in English or Spanish.
• •Jail patients will also be excluded.