title: How to reduce avoidable admissions due to acute diabetes complications?: interrelation between primary and specialized attention in a diabetes unit.
abstract: BACKGROUND
  Type 2 Diabetes Mellitus is a serious health problem. In the year 2030 it will affect 366 million people around the world.
  
  
  OBJECTIVE
  Evaluate the effectiveness of a mixed intervention and reducing the amount and seriousness of acute complications in diabetics from our Health Area.
  
  
  METHODS
  Protocols of action as well as information documents were produced. Diabetes Unit coordinated educational activities in the different support levels of the Area VII of Murcia. Information talks were provided for the people in charge of the Diabetes Unit in every Care Center and Service of the Health Area. Personalized training was provided for patients treated in the different Care levels. The study comprised three stages. Information leaflets were spread and talks offered to the patient regarding in house handling of hypo and hyper glycemia.
  
  
  RESULTS
  A reduction of 39% of the emergencies due to acute non complicated diabetes was achieved, as well as a reduction of 47.6% of hospital admissions. There was a reduction of 67.8% of the amount of total hospital stays for the group of patients under 35 years who were admitted into the hospital due to type 1 or 2 diabetes mellitus that didn't show any complications (GRD295).
  
  
  CONCLUSIONS
  There was a reduction of more than thirty percent in the emergencies due to acute decompensations in the disease and a significant reduction in the avoidable hospital stays in the young adult, thus improving the patients' life quality and reducing the social cost of the diabetic patient.
authors.affiliation: Reina Sofía University Hospital, Murcia, Spain. noelia.garciatalaveraespin@gmail.com
authors.forename: N V
authors.initials: NV
authors.lastname: García-Talavera Espín
authors.forename: A
authors.initials: A
authors.lastname: López-Ruiz
authors.forename: Ma Á
authors.initials: MÁ
authors.lastname: Nuñez Sánchez
authors.forename: A
authors.initials: A
authors.lastname: Meoro Avilés
authors.forename: C
authors.initials: C
authors.lastname: Sánchez Cañizares
authors.forename: H
authors.initials: H
authors.lastname: Romero López-Reinoso
authors.forename: Ma D
authors.initials: MD
authors.lastname: López Olivar
authors.forename: Ma Á
authors.initials: MÁ
authors.lastname: Lapaz Jorge
authors.forename: J Ma
authors.initials: JM
authors.lastname: Guirao Sastre
authors.forename: F
authors.initials: F
authors.lastname: San Eustaquio Tudanca
authors.forename: J
authors.initials: J
authors.lastname: Soriano Palao
mesh_terms: D000328:Adult; D000368:Aged; D048909:Diabetes Complications / Q000191:economics / Q000517:prevention & control / Q000628:therapy*; D003922:Diabetes Mellitus, Type 1 / Q000628:therapy; D003924:Diabetes Mellitus, Type 2 / Q000191:economics / Q000628:therapy*; D004632:Emergency Medical Services; D005260:Female; D006757:Hospital Units / Q000191:economics / Q000458:organization & administration*; D006760:Hospitalization; D006801:Humans; D008297:Male; D055815:Young Adult