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Search Results for Diabetes
Abstract Number: 196
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Perioperative hyperglycemia is associated with poor surgical outcomes, including infection and mortality, with higher rates of complications in patients without diagnosed diabetes (NDM) than in those with diabetes. Insulin therapy has been found to decrease the risk of infection and other adverse outcomes following surgery. It is unclear, however, whether insulin therapy for hyperglycemia […]
Abstract Number: 196
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Several studies have examined the impact of hypoglycemia in diabetic patients. These studies usually have reported relatively worse outcomes with hypoglycemia in diabetics. However, differences in outcomes in type I and II diabetes mellitus (DM) patients with hypoglycemia have not been well examined. Methods: The objective of this study was to examine differences in […]
Abstract Number: 217
SHM Converge 2023
Background: Multiple organizations have published clinical guidelines on hyperglycemia management in the acute care setting in non-critically ill patients [1–3], and the Society of Hospital Medicine offers additional support through its Glycemic Control program [4]. However, there remains little consensus regarding specific dosing regimens when designing insulin protocols in the inpatient setting. At our institution, […]
Abstract Number: 220
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Diabetes affects 30.3 million people in the US, and 25% of total hospital days are incurred by patients with diabetes. Among hospitalized adults, diabetes is considered a chronic secondary diagnosis. As the population of patients with diabetes grows, so does the potential for adverse events during hospitalization. Previous studies have shown that both hyper- […]
Abstract Number: 231
SHM Converge 2023
Background: Over 8 million Americans with diabetes require insulin for disease management. Insulin is a high-risk medication with immense potential for harm. Transitions of care from the hospital to ambulatory settings are particularly prone to error. Studies have suggested a substantial number of insulin prescriptions at hospital discharge contain errors which can result in increased […]
Abstract Number: 234
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The high prevalence of diabetes makes it a common co-morbid condition in hospitalized patients. Healthcare systems have increasingly focused on 30-day readmission rates to improve quality and reduce costs. Readmission rates for patients with diabetes are much higher than the rate for all hospitalized patients. In a recent retrospective analysis, formal diabetes education by […]
Abstract Number: 254
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The use of intraoperative dexamethasone has been on the rise because of its ability to reduce postoperative nausea, vomiting, pain and accelerate post-operative recovery. Use of intraoperative dexamethasone can result in uncontrolled hyperglycemia in the postoperative period especially in patients with a diagnosis of diabetes. The extent and duration of post-operative steroid-induced hyperglycemia is […]
Abstract Number: 281
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hyperglycemia in hospitalized patients is well-known to be associated with adverse outcomes, such as infectious complications, increased length of stay, and increased mortality. To that effect, aggressive treatment of inpatient hyperglycemia has been shown to improve outcomes in both Medicine units and MICU. This study aimed to identify the number of patients experiencing persistent […]
Abstract Number: 285
Hospital Medicine 2020, Virtual Competition
Background: Diabetes is a chronic disease that has turned into a global healthcare epidemic. With time, the focus in diabetes care has shifted to patient education and empowerment. Diabetes educators are professionals who focus on educating individuals with and at risk for diabetes to become effective self-managers. Diabetes educators do not only provide information and […]
Abstract Number: 286
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Glucose management of hospitalized patients with hyperglycemia has many challenges. One of these challenges is the timing of insulin administration in coordination with meal delivery. The Endocrine Society recommends assessing glucose levels within 60 minutes of prandial insulin administration and that rapid-acting insulin should be administered 15 minutes before or immediately after a meal.1 […]