Inpatient management of XXXX : survey in a tertiary care centre.

@entity1 @entity6677 @entity6 @entity2690 @entity772 @entity583
AIMS: Good glycaemic control in hospitalised @entity1 with @entity6 improves wellbeing and aids recovery. This survey aimed to: (1) assess glycaemic control in @entity1 with @entity6 admitted to hospital for reasons other than @entity6 , (2) compare the glycaemic control in @entity1 treated in medical and surgical units, and (3) see the impact of specialists' input on glycaemic control. METHODS: The first 150 @entity1 admitted to hospital were identified; those with acute metabolic complications of @entity6 , @entity583 , @entity6677 , and @entity1 in different intensive care units were excluded. Case notes were reviewed with particular attention to glycaemic control, frequency of blood monitoring, complications, and the actions taken to improve glycaemic control. RESULTS: Four of the 150 @entity1 died in hospital. When subcutaneous @entity2690 was used glycaemic control was good in 48%, suboptimal in 15%, and poor in 37% of @entity1 . The results were not significantly different with subcutaneous or intravenous @entity2690 . There was also no difference in glycaemic control among medical and surgical @entity1 . @entity1 managed by designated specialists had better control than those managed by physicians (p<0.001). Hypoglycaemia was documented in 20% and two @entity1 developed non-ketotic @entity772 while in hospital. In a few cases treatment at discharge was not changed despite poor control while in hospital. CONCLUSION: More attention should be given to improving glycaemic control in @entity1 hospitalised for reasons other than @entity6 . Particular care should be taken to modify the dose of @entity2690 needed to get good glycaemic control; control was better with specialists' input. A follow up survey will be conducted.
