2014
DOI: 10.4158/ep14061.or
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An Individualized Inpatient Diabetes Education and Hospital Transition Program for Poorly Controlled Hospitalized Patients with Diabetes

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Cited by 33 publications
(31 citation statements)
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“…[35][36][37] The evidence supporting such transition care in diabetes is limited but small studies do suggest benefit in terms of readmission, particularly in patients for whom the reason for admission was diabetes. 27,38,39 Qualitative studies in this population suggest that discharge instructions and ongoing support decrease readmissions in patients with diabetes. 38,40 Our study was not able to accurately capture post-discharge follow-up; therefore, further research is needed to determine the nature and intensity of transition care needed for insulin-treated patients after hospital discharge.…”
Section: Discussionmentioning
confidence: 97%
“…[35][36][37] The evidence supporting such transition care in diabetes is limited but small studies do suggest benefit in terms of readmission, particularly in patients for whom the reason for admission was diabetes. 27,38,39 Qualitative studies in this population suggest that discharge instructions and ongoing support decrease readmissions in patients with diabetes. 38,40 Our study was not able to accurately capture post-discharge follow-up; therefore, further research is needed to determine the nature and intensity of transition care needed for insulin-treated patients after hospital discharge.…”
Section: Discussionmentioning
confidence: 97%
“…Similarly, higher baseline levels of A 1c have been found to correlate with greater reductions in A 1c following CDE-led educational interventions,15 but also to reduce the likelihood of achieving target A 1c levels with insulin therapy 27,28. These findings reinforce the importance of avoiding delayed treatment of hyperglycemia, including initiating insulin when oral antidiabetic agents and lifestyle measures no longer adequately control blood glucose levels 29,30…”
Section: Discussionmentioning
confidence: 81%
“…As specialists in their field, Credentialled Diabetes Educators (CDEs) are well positioned to provide patients with the self-management education and support that is an essential component of diabetes care 13,14. CDE-led patient support has been shown to improve patient outcomes in primary and secondary care settings 1517…”
Section: Introductionmentioning
confidence: 99%
“…A retrospective cohort study of 2265 hospitalized patients with uncontrolled diabetes reported that IDE was associated with a statistically significantly lower odds of readmission within 30 and 180 days [139]. A single-arm pilot of IDE and follow-up by phone after discharge in 82 patients with uncontrolled diabetes was associated with an 88.5% lower rate of hospitalization for severe hyperglycemia during 6 months of follow-up [140]. An RCT in 65 diabetes patients admitted for hypoglycemia found that IDE, medication adjustment, and discharge planning significantly reduced the risk of readmission for hypoglycemia while also reducing length of stay by more than 2 days [141].…”
Section: Evidence-based Intervention Programs Across the Population Hmentioning
confidence: 99%