title: Managing hyperglycaemia in patients with diabetes on enteral nutrition: the role of a specialized diabetes team.
abstract: OBJECTIVE
  Hyperglycaemia is commonly observed in patients with diabetes mellitus (DM) while receiving enteral nutrition (EN) in hospital, and hyperglycaemia has been shown to be associated with poor clinical outcomes. The aim of this study was to assess the glycaemic status of patients with DM who received EN during hospital admission and evaluate the impact of intervention by a specialist diabetes team (SDT) on glycaemic control and clinical outcomes of these patients.
  
  
  METHODS
  A retrospective review of patients with DM who required EN during hospital admission was conducted. We compared patient characteristics, glycaemic profile and clinical outcomes between patients who were managed by SDT and those who were managed by the admitting team.
  
  
  RESULTS
  Seventy-four patients with DM on EN were included in this study, of whom 27 were managed by SDT while on EN. Compared with patients managed by the admitting team, those who were reviewed by SDT had better glycaemic control during the period of EN as well as during the 24 h after EN was ceased. These patients also had shorter length-of-stay in hospital and lower in-patient mortality.
  
  
  CONCLUSIONS
  Our findings confirmed that there was a role for SDT in managing patients with DM who received EN during their hospital admission. These patients had improved glycaemic control while receiving EN and had better clinical outcomes. Further prospective studies will be required to validate the findings of this study.
authors.affiliation: 1] Liverpool Diabetes Collaborative Research Unit, Ingham Institute of Applied Science, Liverpool, New South Wales, Australia [2] South Western Clinical School, University of New South Wales, Liverpool, New South Wales, Australia [3] Diabetes and Endocrine Service, Liverpool Hospital, Liverpool, New South Wales, Australia.
authors.forename: V W
authors.initials: VW
authors.lastname: Wong
authors.affiliation: Diabetes and Endocrine Service, Liverpool Hospital, Liverpool, New South Wales, Australia.
authors.forename: M
authors.initials: M
authors.lastname: Manoharan
authors.affiliation: Department of Dietetics, Liverpool Hospital, Liverpool, New South Wales, Australia.
authors.forename: M
authors.initials: M
authors.lastname: Mak
mesh_terms: D000368:Aged; D001786:Blood Glucose / Q000032:analysis*; D003920:Diabetes Mellitus / Q000503:physiopathology* / Q000628:therapy; D004750:Enteral Nutrition / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D006943:Hyperglycemia / Q000209:etiology*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009517:New South Wales; D012189:Retrospective Studies; D018709:Statistics, Nonparametric
chemical_list: D001786:Blood Glucose