The effect of healthcare provider education on diabetes management of hospitalised patients.
BACKGROUND
The importance of optimising blood glucose (BG) control in hospitalised patients is widely accepted. To determine whether focused education of physicians and nurses would result in measurable changes in glycaemic control, the effect of a diabetes-focused educational programme on point of care (POC) BG measures was monitored.


METHODS
This programme included 2 h symposium and 2 h interactive session. The POC BG measures were determined at 2-month period prior to implementing the programme and the ensuing 7 months after. Outcome parameters included the mean BG values, the incidence of hyperglycaemia (BG > 180 mg/dl) and hypoglycaemia (BG < 60 mg/dl). The outcome parameters were analysed by comparing the Internal Medicine (target service) to other such as Neurology and Surgical Trauma where no programme was offered.


RESULTS
On Internal Medicine, the mean BG decreased soon after implementing the programme and stayed lower than the baseline values over 7 months. The changes were significant at the third, fourth, seventh and the ninth month of the study. Hyperglycaemia decreased significantly (p < 0.05) on the third, fourth, seventh and eighth month, while hypoglycaemia increased following the education programmes. On Neurology and Surgical Trauma, the mean BG values were significantly higher, and hypoglycaemia was significantly lower during the same time frame.


CONCLUSIONS
Implementing an educational programme for healthcare providers had significant effects on the lowering of mean BG values and the incidence of hyperglycaemia, but increased the risk of hypoglycaemia. The merits of such programmes need to be tested before their widespread implementation.
Chehade
J M
JM
Department of Medicine, University of Florida-College of Medicine, Jacksonville, FL 32209, USA. joe.chehade@jax.ufl.edu
Sheikh-Ali
M
M
Alexandraki
I
I
House
J
J
Mooradian
A D
AD
D001786:Blood Glucose; D003920:Diabetes Mellitus / Q000628:therapy*; D004503:Education, Medical, Graduate / Q000379:methods*; D004506:Education, Nursing / Q000379:methods*; D006760:Hospitalization; D006801:Humans; D006943:Hyperglycemia / Q000628:therapy; D007003:Hypoglycemia / Q000209:etiology; D007388:Internal Medicine / Q000193:education; D008505:Medical Staff, Hospital / Q000193:education*; D009462:Neurology / Q000193:education; D019095:Point-of-Care Systems; D011787:Quality of Health Care
D001786:Blood Glucose