A workable model for the management of hyperglycemia in non-critically ill patients in an Asian population

Abstract

This computer-assisted consulting model was found to be potentially very workable for the management of inpatient hyperglycemia in hospitals with high patient volumes in Asia.

Glucose alert system improves health professional responses to adverse glycaemia and reduces the number of hyperglycaemic episodes in non‐critical care inpatients

“…There was a modest decrease in mean BG (0.7 mmol/l) in one study [26], and a 20% decrease in the proportion of patient-days with mean BG >15 mmol/l in another [27]. Two studies have evaluated an electronic alert system that generated an automated referral and subsequent consultation by a specialist diabetes team.…”

“…Glucose alert systems in the non-critical care setting can vary greatly in function and complexity, as evident in a relatively small number of heterogeneous studies [15,[24][25][26][27][28]. A manual alert system may be a simple colour-coded BG monitoring chart, whilst an electronic alert system uses pointof-care BG data and generates computerized alerts when predefined BG criteria are met.…”

“…Two studies have evaluated an electronic alert system that generated an automated referral and subsequent consultation by a specialist diabetes team. There was a modest decrease in mean BG (0.7 mmol/l) in one study [26], and a 20% decrease in the proportion of patient-days with mean BG >15 mmol/l in another [27]. These alert systems require complex integrated hospital electronic systems, and demand greater resources and staffing.…”

Inpatient glucose management programme in the Asian healthcare setting

“…To our knowledge, this is the first study published from an Asian healthcare setting on a universal structured intervention programme to intervene in all non‐critically ill inpatients with suboptimal glycaemic control. A published report from a Taiwan hospital also features an inpatient diabetes team model . However, a key difference in strategy is that the Taiwanese model prompts the physician‐in‐charge to consider referral to inpatient diabetes team for patients who meet the hyperglycemia criteria, whereas all patients with suboptimal glycaemic control are proactively identified and intervened in our model.…”

“…A published report from a Taiwan hospital also features an inpatient diabetes team model. 11 However, a key difference in strategy is that the Taiwanese model prompts the physicianin-charge to consider referral to inpatient diabetes team for patients who meet the hyperglycemia criteria, whereas all patients with suboptimal glycaemic control are proactively identified and intervened in our model.…”