Background: People experiencing homelessness (PEH) face barriers to accessing regular ambulatory care, which increases their risk of having poorly controlled chronic medical conditions and contributes to high acute care utilization. The role of field-based homeless healthcare teams in improving hypertension and diabetes control and reducing acute care utilization (e.g., emergency department [ED] visits, inpatient hospitalizations) [...]

Background: People experiencing homelessness (PEH) face barriers to accessing regular ambulatory care, which increases their risk of having poorly controlled chronic medical conditions and contributes to high acute care utilization. The role of field-based homeless healthcare teams in improving hypertension and diabetes control and reducing acute care utilization (e.g., emergency department [ED] visits, inpatient hospitalizations) [...]

Background: Inpatient hypoglycemia (HG) is common and often avoidable, associated with poor outcomes and high costs, and its prevention reflects hospital performance. We investigated its risk factors and impact on mortality, hospital length of stay (LOS), charges, and readmissions. We defined HG as glucose ≤40 mg/dl (severe), >40 – ≤70 mg/dl (moderate), or euglycemia >70 [...]

Background: Individuals with diabetes have a 2–3 fold higher hospitalization rate compared to those without diabetes. During hospitalization, individuals with diabetes frequently experience elevated blood glucose levels (or, hyperglycemia) (1), which can increase monitoring by nurses and hospitalists, length of stay, and healthcare cost. Therefore, we sought to develop a machine learning model to predict [...]

Background: Certain infections, such as mucormycosis and Fournier gangrene, were initially linked to diabetes via case reports (1). Subsequent studies using electronic health record (EHR) data and frequentist methods have provided new insights, including increased mortality among patients with diabetes and infections (2). However, infection risk among patients with type 1 diabetes (T1D), type 2 [...]

Background: Stroke is a leading cause of long-term disability in the U.S., with many being attributable to lifestyle-related risk factors. Obesity and diabetes, in particular, have been shown to significantly increase the risk of having a stroke. However, the connection between these conditions and the severity of stroke is not as well understood. Some research [...]

Background: Hypertension and diabetes are common comorbidities frequently managed by primary care physicians. Poorly controlled cases of these conditions can lead to increased healthcare resource utilization. We conducted a prospective pilot study involving high-risk patients with hypertension and diabetes to evaluate whether a multidisciplinary team approach could lead to improved clinical outcomes and reduced healthcare [...]

Background: Renal complications of diabetes mellitus pose a significant public health challenge, contributing to substantial morbidity and mortality globally. Understanding temporal trends and regional disparities in mortality related to diabetic nephropathy is crucial for guiding targeted interventions and policy decisions. Our study aims to analyze the trends and regional differences in mortality related to renal [...]

Background: Hypoglycemia occurs frequently in hospitalized adults with diabetes, and is associated with adverse clinical events, increased use of rapid response teams, prolonged hospital length of stay, and higher healthcare costs (1). Identifying risk of hypoglycemia in hospitalized adults is vital to preventing adverse events and maximizing patient safety. However, there are no tools/models to [...]

Background: Glycemic control is crucial in the intensive care setting to reduce morbidity and adverse outcomes.1 The debate over methods for achieving this control highlights the risks of hypoglycemia and unclear management parameters.2 Continuous glucose monitoring software, like Glucommander, helps manage blood sugar safely and prevents hypoglycemic events.3,4 Generally, maintaining euglycemia with insulin improves outcomes [...]