Inpatient glycemic management in internal medicine: an observational multicenter study in Nanjing, China

Current Medical Research and Opinion
Shujie HaoQingqing Lou

Abstract

To evaluate the prevalence of hyperglycemia among inpatients in internal medicine, and specifically, to assess the glycemic management of inpatients in non-endocrinology departments in three large urban hospitals in China. A multicenter observational study was conducted using electronic health records, and a survey of 1939 patients who were admitted to internal medicine units and followed until discharge. Those with previously diagnosed diabetes, newly diagnosed diabetes, or impaired fasting glucose were included. Aspects of glycemic management examined were (a) hyperglycemia, (b) endocrinology consultation for hyperglycemia and (c) hypoglycemia. The prevalence of hyperglycemia in internal medicine was 45.7% (886 out of 1939). A total of 741 (83.6%) patients were treated by non-endocrinology departments; of those, 230 (31.1%) were in poor glycemic control and needed an endocrinology consultation. Yet only 57 (24.8%) received one. In 4 cases, the physician did not follow the consultants' advice. Among the remaining 53 consulted patients, 35 (66.1%) were still in poor glycemic control, yet only about half received a second consultation. Finally, among patients treated in non-endocrinology departments, 58 (7.8%) had hypoglycemia; ...Continue Reading

References

Apr 16, 1998·Diabetes Care·C S LevetanR E Ratner
Mar 12, 2003·The Journal of Clinical Endocrinology and Metabolism·Mehtap CakirUmit Karayalcin
Oct 28, 2003·Diabetes Care·Saul GenuthUNKNOWN Expert Committee on the Diagnosis and Classification of Diabetes Mellitus
Jan 30, 2004·Diabetes Care·Stephen ClementUNKNOWN American Diabetes Association Diabetes in Hospitals Writing Committee
Jul 15, 2004·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Alan J GarberUNKNOWN American College of Endocrinology Task Force on Inpatient Diabetes Metabolic Control
Mar 1, 2006·Diabetes Care·Gregory A NicholsJonathan B Brown
Jan 16, 2007·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Jeffrey L SchnipperMerri L Pendergrass
May 8, 2007·Diabetes Research and Clinical Practice·J PuigJ Gutiérrez
May 11, 2007·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Curtiss B CookBryan P Hull
Jan 19, 2008·Diabetic Medicine : a Journal of the British Diabetic Association·D FlanaganP Lynch
Jun 4, 2008·Annals of Internal Medicine·Susan L NorrisUNKNOWN U.S. Preventive Services Task Force
Jul 17, 2008·Journal of Rehabilitation Research and Development·Sandra G Resnick, Robert A Rosenheck
Sep 11, 2009·The New England Journal of Medicine·Thomas R Ziegler
Nov 10, 2009·Diabetes Research and Clinical Practice·J E ShawP Z Zimmet
Mar 27, 2010·Journal of the American College of Cardiology·Earl S FordChaoyang Li
Apr 23, 2011·QJM : Monthly Journal of the Association of Physicians·J T GeorgeUNKNOWN TOPDOC Diabetes Study Team
Oct 25, 2011·The American Journal of Medicine·Laura BoucaiJoel Zonszein
May 23, 2012·Hospital Practice·Lowell R Schmeltz, Carla Ferrise
Jul 24, 2013·Diabetic Medicine : a Journal of the British Diabetic Association·N HolmanR J Young
Sep 5, 2013·JAMA : the Journal of the American Medical Association·Yu XuUNKNOWN 2010 China Noncommunicable Disease Surveillance Group
Dec 12, 2013·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Myriam Zaydee Allende-VigoRaul O Ramón
Mar 19, 2014·Diabetes Research and Clinical Practice·L GuariguataJ E Shaw
Apr 19, 2015·Critical Care : the Official Journal of the Critical Care Forum·Pierre KalfonUNKNOWN CGAO-REA Study Group
Aug 8, 2015·Diabetes Spectrum : a Publication of the American Diabetes Association·Annabelle RodriguezGreg Maynard
Sep 1, 2016·Experimental and Clinical Endocrinology & Diabetes : Official Journal, German Society of Endocrinology [and] German Diabetes Association·R TikkanenM Virkkunen

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Citations

Sep 27, 2019·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Yi-Jing SheenWayne H-H Sheu

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