Impact of inpatient diabetes management, education, and improved discharge transition on glycemic control 12 months after discharge
Deborah J. Wexler,Catherine C. Beauharnais,Susan Regan,David M. Nathan,Enrico Cagliero,Mary E. Larkin +5 more
TLDR
Inpatient diabetes management (IDMET) substantially improved glycemic control 1 year after discharge in patients newly discharged on insulin; patients previously treated with insulin did not benefit.About:
This article is published in Diabetes Research and Clinical Practice.The article was published on 2012-11-01 and is currently open access. It has received 73 citations till now. The article focuses on the topics: Glycemic & Diabetes management.read more
Citations
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Targeting intensive glycaemic control versus targeting conventional glycaemic control for type 2 diabetes mellitus
TL;DR: Trial sequential analysis showed that a 10% relative risk reduction could be refuted for all-cause mortality, and targeted intensive glycaemic control did not show a statistically significant effect on the risks of macrovascular complications as a composite outcome in the random-effects model.
Journal ArticleDOI
Management of Hyperglycemia in Hospitalized Adult Patients in Non-Critical Care Settings: An Endocrine Society Clinical Practice Guideline.
Mary T. Korytkowski,Ranganath Muniyappa,Kellie J. Antinori-Lent,Amy C. Donihi,Andjela Drincic,Irl B. Hirsch,Anton Luger,Marie E. McDonnell,M. Hassan Murad,Craig Nielsen,Claire Pegg,Robert J. Rushakoff,Nancy Santesso,Guillermo E. Umpierrez +13 more
TL;DR: The guideline includes conditional recommendations for hospital use of emerging diabetes technologies including continuous glucose monitoring and insulin pump therapy; insulin regimens for prandial insulin dosing, glucocorticoid, and enteral nutrition-associated hyperglycemia; and use of noninsulin therapies.
Posted Content
Effects of Care Coordination on Hospitalization, Quality of Care, and Health Care Expenditures Among Medicare Beneficiaries: 15 Randomized Trials
TL;DR: Viable care coordination programs without a strong transitional care component are unlikely to yield net Medicare savings and programs with substantial in-person contact that target moderate to severe patients can be cost-neutral and improve some aspects of care.
Journal ArticleDOI
The Role of Nurses and the Facilitators and Barriers in Diabetes Care: A Mixed Methods Systematic Literature Review
TL;DR: It is important to give greater focus to inpatient care and perhaps to enhance nurses’ roles by eliminating any barriers that prevent them from providing adequate quality care.
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An Individualized Inpatient Diabetes Education and Hospital Transition Program for Poorly Controlled Hospitalized Patients with Diabetes
Kathleen Dungan,Sharon Lyons,Kavya Manu,Manjusha Kulkarni,Khalid Ebrahim,Cara Grantier,Cara Harris,Dawn Black,Dara P. Schuster +8 more
TL;DR: The study suggests that an individualized inpatient diabetes education and transition program is associated with a significant reduction in HbA1c that is dependent on baseline Hb a1c, older age, initiation of insulin, and earlier enrollment.
References
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Intensive versus conventional glucose control in critically ill patients.
Nice-Sugar Study Investigators,Dean R. Chittock,Steve Su,D. Blair,Denise Foster,Rinaldo Bellomo,Deborah J. Cook,Vinay Dhingra,Peter Dodek,Paul C. Hébert,William R. Henderson,Stephane Heritier,Daren K. Heyland,Colin McArthur,Ellen McDonald,Imogen Mitchell,Robyn Norton,J. Potter,Bruce G. Robinson,Juan J. Ronco +19 more
TL;DR: In this large, international, randomized trial, it was found that intensive glucose control increased mortality among adults in the ICU: a blood glucose target of 180 mg or less per deciliter resulted in lower mortality than did a target of 81 to 108 mg perDeciliter.
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American Association of Clinical Endocrinologists and American Diabetes Association Consensus Statement on Inpatient Glycemic Control
Etie S. Moghissi,Mary T. Korytkowski,Monica DiNardo,Daniel Einhorn,Richard Hellman,Irl B. Hirsch,Silvio E. Inzucchi,Faramarz Ismail-Beigi,M. Sue Kirkman,Guillermo E. Umpierrez +9 more
TL;DR: Recommendations from the ACE and the ADA generally endorsed tight glycemic control in critical care units and for patients in general medical and surgical units, where RCT evidence regarding treatment targets was lacking, glycemic goals similar to those advised for outpatients were advocated.
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Management of diabetes and hyperglycemia in hospitals.
Stephen Clement,Susan S. Braithwaite,Michelle F. Magee,Andrew J. Ahmann,Elizabeth P. Smith,Rebecca G. Schafer,Irl B. Hirsch +6 more
TL;DR: The purpose of this technical review is to evaluate the evidence relating to the management of hyperglycemia in hospitals, with particular focus on the issue of glycemic control and its possible impact on hospital outcomes.
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Relationship between early physician follow-up and 30-day readmission among medicare beneficiaries hospitalized for heart failure
Adrian F. Hernandez,Melissa A. Greiner,Gregg C. Fonarow,Bradley G. Hammill,Paul A. Heidenreich,Clyde W. Yancy,Eric D. Peterson,Lesley H. Curtis +7 more
TL;DR: Among patients who are hospitalized for heart failure, substantial variation exists in hospital-level rates of early outpatient follow-up after discharge, and Patients who are discharged from hospitals that have higher early follow- up rates have a lower risk of 30-day readmission.
Comprehensive Discharge Planning With Postdischarge Support for Older Patients With Congestive Heart Failure
Christopher O. Phillips,Scott M. Wright,David E. Kern,Ramesh M. Singa,Sasha Shepperd,R. Rubin +5 more
TL;DR: In this article, a comprehensive discharge planning plus postdischarge support may reduce readmission rates and improve health outcomes for patients with congestive heart failure (CHF) in the United States.