Impact of an inpatient multidisciplinary glucose control management program

Abstract

Objective: Glycemic control has been increasingly recognized as a critical element in inpatient care, but optimal management of blood glucose in the hospital setting remains challenging. The aims of this study were to describe and evaluate the impact of the implementation of an inpatient multidisciplinary glucose control management program on glucose control in hospitalized patients. Materials and methods: Retrospective analysis of medical records and glucose monitoring data obtained by pointof-care testing (POCT) in hospitalized patients before (

Electronic dashboard‐based remote glycemic management program reduces length of stay and readmission rate among hospitalized adults

“…Our study showed further reductions in the number of inpatients with poor glycemic control (hyperglycemia and hypoglycemia), and more inpatients had glucose levels within the target ranges. Compared with other institution-wide inpatient glycemic management systems [20][21][22][23] , our program enrolled relatively more hospitalized adults, had a longer observation term (observed for 4 years), and ranked highly in improvements in glycemic control and maintenance. Interestingly, as compared with usual care (a referral-based consultation service), a recent study reported that proactive or early intervention by endocrinologists decreased the proportion of patients with hyperglycemia (>270 mg/dL) to 3.3% 24 , which was similar to our study.…”

Glucose management team significantly improves glycaemic care and commitment to in‐hospital guidelines within arthroplastic patients

“…Previous studies have shown promising results on in-hospital glucose management teams [13][14][15][18][19][20][21][22] : Retrospective analyses suggest that they improve access to care and glycaemic control but reduce readmissions and duration of the inpatient period 13,15,[18][19][20] and of costs. 21 Prospective studies are few: Wallaert and co-writers studied 38 surgical patients with vascular disease and showed that the involvement of a glucose management team improves glycaemic care.…”

The Role of the Diabetes Care and Education Specialist in the Hospital Setting

“…2 Research suggests that early and aggressive intervention to manage hyperglycemia and hypoglycemia in the hospital could significantly reduce morbidity, mortality, length of stay, and medical costs. 3-10…”

“…2 Research suggests that early and aggressive intervention to manage hyperglycemia and hypoglycemia in the hospital could significantly reduce morbidity, mortality, length of stay, and medical costs. [3][4][5][6][7][8][9][10] The 2021 Association of Diabetes Care & Education Specialists National Practice Survey reported that 23.8% of diabetes care and education specialists work in hospital inpatient services, an increase from 21% in 2017 (J. Kavookjian, PhD, unpublished data, 2021). It is the position of ADCES that all inpatient interdisciplinary teams include a diabetes care and education specialist to lead or support quality improvement initiatives that affect persons hospitalized with diabetes and/or hyperglycemia.…”