A workable model for the management of hyperglycemia in non-critically ill patients in an Asian population. Issue 8 (6th November 2015)

• Record Type: Journal Article
• Authors: Lin, Shi-Dou; Tu, Shih-Te; Lin, Mei-Jung; Jhang, Ya-Leng; Hsieh, Ming-Chia
• Is Part Of: Postgraduate medicine. Volume 127:Issue 8(2015)
• Page Start: 796
• Page End: 800
• Publication Date: 2015-11-06
• Subjects: Computerized reminder -- consultant team -- diabetes -- inpatient hyperglycemia; Medicine -- Periodicals; Medicine -- Periodicals; Medicine; Periodicals; 610.5
• DOI: 10.1080/00325481.2015.1080113
• Languages: English
• ISSNs: 0032-5481

Abstract

Abstract: Objective: The clinical efficacy of applying a western model for managing hyperglycemia in hospitalized patients in Asia has not been studied. Methods: For this observational case-control study, we divided six medical wards into two groups, an intervention group and a control group. The intervention group, consisting three medical wards on the same floor, received care under a computer-assisted consulting model in which special care was automatically indicated for patients who had two successive high glucose measurements in 1 day. The control group, consisting of another three medical wards distributed on different floors, received regular care. Outcome measures were baseline and post-intervention patient-day weighted mean glucose, percentage of patient-day weighted glucose ≥180 mg/dL, proportion of glucose level 100–180 mg/dL, and prevalence of inpatient hyperglycemia (>180 mg/dL) and hypoglycemia (individual measurement <70 mg/dL and patient-day with any measurement <70 mg/dL). Results: At baseline, the patient-day weighted mean glucose level was 181.6 mg/dL. All parameters were comparable between the intervention and control groups with the exception of prevalence of hypoglycemia, which was found to be higher in the intervention group. After intervention, patient-day weighted mean glucose levels for intervention and control groups were 169.9 mg/dL and 176.7 mg/dL, respectively ( p < 0.001). The intervention group had a reduction in hypoglycemia and the control group an increase. Conclusion: This computer-assisted consulting model was found to be potentially very workable for the management of inpatient hyperglycemia in hospitals with high patient volumes in Asia.