Long-term glycaemic control (HbA1c), not admission glucose, predicts hospital re-admission in diabetic patients

Abstract

Recognition and treatment of admission hyperglycaemia in diabetic patients was associated with longer LOS than if untreated. Contributory factors to LOS include: illness severity, infections, and higher HbA1c. Although follow-up plans were few (27 per cent) for diabetic patients with hyperglycaemia, it was significantly more likely in those with higher HbA1c. Diabetic patients' complexities require timely multidisciplinary team involvement. Improved follow-up care, particularly for hospitalised diabetic patients identified to have chronically poor glycaemic control, may help prevent future diabetic patient re-admissions.

Associations Between the Knowledge of Different Food Categories and Glycemia in Chinese Adult Patients With Type 2 Diabetes

“…HbA1 C as an indicator of long-term glycemic control is a better predictor of hospital admission in patients with diabetes than the glucose levels on admission (Chai, Tonks, & Campbell, 2015). Many studies confirmed that various diets could improve glycemic control in people with type 2 diabetes (Banel & Hu, 2009; Gannon, Nuttall, Saeed, Jordan, & Hoover, 2003; Sauder, Mccrea, Ulbrecht, Krisetherton, & West, 2015; Q.…”

Hyperglycemia is associated with poor in-hospital outcome in elderly patients with acute ischemic stroke

“…FPG was not considered in the present study for the diagnosis of diabetes because of the metabolic disturbances associated with AIS. Since HbA1c represents the long-term glycemic burden, it was considered as more reliable for the diagnosis of diabetes, [13] as per the Chinese guidelines. [14,15] Initial stroke severity was evaluated on the 1st day of admission according to the National Institute of Health Stroke Scale (NIHSS).…”

Are Ethnic Disparities in HbA1c Levels Explained by Mental Wellbeing? Analysis of Population-Based Data from the Health Survey for England

“…Hospitalisation typically results from short and/or long-term complications associated with poor blood sugar (i.e. glycaemic) control [ 5 ]. Thus, improving blood sugar control can significantly reduce the costs of diabetes-related care [ 1 ], reducing the economic burden of the disease [ 4 ].…”

“…Indian, Pakistani, Bangladeshi) in particular are 2.6 times more likely to be admitted to hospital for diabetes, compared to Caucasians [ 8 ]. The excess hospitalisation risk in South Asian patients may denote higher complication rates resulting from poor blood sugar control [ 1 , 5 , 9 – 11 ]. Although some evidence suggests no ethnic differences in blood glucose levels [ 12 ], other research indicates poorer glycaemic control amongst South Asian patients relative to Caucasians [ 13 ].…”

“…Average blood sugar control over time is gauged using HbA 1c (glycated haemoglobin) test [ 5 ]. This test gives an indication of blood sugar concentration over the previous 2–3 months [ 15 ].…”