Newly identified hyperglycemia among hospitalized patients.
BACKGROUND
Earlier diagnosis and treatment of diabetes mellitus is desirable. We studied the prevalence of newly identified diabetes among hospital inpatients.


METHODS
We did a prospective observational study in a community teaching hospital.


RESULTS
Thirty-six patients had hyperglycemia on at least 2 days and were considered to have newly identified diabetes mellitus. They represented approximately 1% of the inpatient population. Sixteen (44%) were receiving corticosteroid treatment. Five of the patients (14%) died during the hospitalization. Twenty-four (67%) received insulin treatment during hospitalization. Of the 31 surviving patients, only 15 (48%) had documentation of discharge plans for diabetes-related treatment, 7 (23%) received instruction by a dietitian, and 5 (16%) received education about diabetes self-management from a diabetes nurse educator.


CONCLUSIONS
Hospitalized patients with newly identified hyperglycemia represent an opportunity for early diagnosis, education, and treatment of a substantial proportion of patients with undiagnosed diabetes.
Graber
A L
AL
St. Thomas Hospital and Vanderbilt University School of Medicine, Nashville, Tenn, USA.
McDonald
T
T
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D002985:Clinical Protocols; D006760:Hospitalization; D006801:Humans; D006943:Hyperglycemia / Q000175:diagnosis* / Q000178:diet therapy / Q000188:drug therapy; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D010353:Patient Education as Topic; D011446:Prospective Studies
D000305:Adrenal Cortex Hormones; D007004:Hypoglycemic Agents; D007328:Insulin