Hospital Insulin Protocol Aims for Glucose Control in Corticosteroid-induced Hyperglycemia

Inclusion Criteria: * Men or women aged ≥18 years who receive steroids in doses greater than physiologic replacement levels of ≥ 10 mg Prednisone or its equivalent of dexamethasone or methylprednisolone. * Have signed the consent form for the study * Have a BG \> 180 mg/dL any time during the first 24 hour of steroid administration that is above physiological replacement ( ≥ 10 mg Prednisone or equivalent) * Are scheduled to be in hospital ≥ 2 days. Exclusion Criteria: * Unable to read or understand English * History of psychiatric disability affecting informed consent or compliance with drug intake * Type 1 diabetes * Acute or chronic renal failure (creatinine clearance \< 30 mL/min estimated by method of Cockcroft and Gault) * Patients in Hospice Care * Age \<18 years * Previously enrolled in this study. * Not appropriate for the steroid protocol in judgment of the principal investigator and/or attending physician.