Issa M, et al. - Researchers used the national inpatient sample to test the hypothesis that acute decompensated diabetes is also associated with worse early morbidity and mortality among patients admitted with non-ST elevation myocardial infarction (NSTEMI). They identified adult patients with a primary discharge diagnosis of diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic state (HHS). An evaluation of contemporary trends in the incidence and management and comparison of in-hospital morbidity and mortality, resource utilization and cost was carried out between DKA/HHS patients with and without NSTEMI. The occurrence of NSTEMI was reported in about 3% of patients admitted with decompensated diabetes. These subjects were noted to have higher in-hospital morbidity and mortality, longer hospitalization and higher cost.