title: Pilot trial of diabetes self-management education in the hospital setting.
abstract: OBJECTIVE
  Diabetes self-management education (DSME) is recommended for all patients with diabetes. Current estimates indicate that <50% of patients receive DSME, increasing risk for hospitalization which occurs more frequently with diabetes. Hospitalization presents opportunities to provide DSME, potentially decreasing readmissions. To address this, we investigated the feasibility of providing DSME to inpatients with diabetes.
  
  
  METHODS
  Patients hospitalized on four medicine units were randomized to receive DSME (Education Group) (n=9) prescribed by a certified diabetes educator and delivered by a registered nurse, or Usual Care (n=12). Participants completed Diabetes Knowledge Tests (DKT), Medical Outcomes Short Form (SF-36), Diabetes Treatment Satisfaction Questionnaire (DTSQ), and the DTSQ-inpatient (DTSQ-IP). Bedside capillary blood glucoses (CBG) on day of admission, randomization and discharge were compared.
  
  
  RESULTS
  There were no group differences in demographics, diabetes treatment, admission CBG (186±93 mg/dL vs. 219±84 mg/dL, p=0.40), DKT scores (Education vs. Usual Care 48±25 vs. 68±19, p=0.09), SF-36, and DTSQ scores (28±6 vs. 25±7, p=0.41). Patients receiving education reported more satisfaction with inpatient treatment (83±13 vs. 65±19, p=0.03), less hyperglycemia prior to (2.7±4.5 vs. 4.5±1.4, p=0.03) and during hospitalization (3.9±1.9 vs. 5.5±1.2, p=0.04); and had lower mean discharge CBG (159±38 mg/dL vs. 211±67 mg/dL, p=0.02).
  
  
  CONCLUSIONS
  Inpatient diabetes education has potential to improve treatment satisfaction, and reduce CBG.
authors.affiliation: Division of Endocrinology, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States. Electronic address: mtk7@pitt.edu.
authors.forename: Mary T
authors.initials: MT
authors.lastname: Korytkowski
authors.affiliation: Division of Endocrinology, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States.
authors.forename: Glory L
authors.initials: GL
authors.lastname: Koerbel
authors.affiliation: School of Medicine, University of Michigan, Ann Arbor, MI, United States.
authors.forename: Lindsey
authors.initials: L
authors.lastname: Kotagal
authors.affiliation: Department of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy, United States.
authors.forename: Amy
authors.initials: A
authors.lastname: Donihi
authors.affiliation: School of Nursing, University of Pittsburgh, Pittsburgh, PA, United States.
authors.forename: Monica M
authors.initials: MM
authors.lastname: DiNardo
mesh_terms: D000328:Adult; D000368:Aged; D015415:Biomarkers / Q000097:blood; D001786:Blood Glucose / Q000378:metabolism; D003920:Diabetes Mellitus / Q000097:blood / Q000175:diagnosis / Q000628:therapy*; D005240:Feasibility Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006304:Health Status; D006760:Hospitalization; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D010414:Pennsylvania; D010865:Pilot Projects; D012648:Self Care / Q000379:methods*; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D015415:Biomarkers; D001786:Blood Glucose
keywords: Diabetes mellitus; Hospitals; Inpatients; Patient education; Patient satisfaction