title: A workable model for the management of hyperglycemia in non-critically ill patients in an Asian population.
abstract: OBJECTIVE
  The clinical efficacy of applying a western model for managing hyperglycemia in hospitalized patients in Asia has not been studied.
  
  
  METHODS
  For this observational case-control study, we divided six medical wards into two groups, an intervention group and a control group. The intervention group, consisting three medical wards on the same floor, received care under a computer-assisted consulting model in which special care was automatically indicated for patients who had two successive high glucose measurements in 1 day. The control group, consisting of another three medical wards distributed on different floors, received regular care. Outcome measures were baseline and post-intervention patient-day weighted mean glucose, percentage of patient-day weighted glucose ≥180 mg/dL, proportion of glucose level 100-180 mg/dL, and prevalence of inpatient hyperglycemia (>180 mg/dL) and hypoglycemia (individual measurement <70 mg/dL and patient-day with any measurement <70 mg/dL).
  
  
  RESULTS
  At baseline, the patient-day weighted mean glucose level was 181.6 mg/dL. All parameters were comparable between the intervention and control groups with the exception of prevalence of hypoglycemia, which was found to be higher in the intervention group. After intervention, patient-day weighted mean glucose levels for intervention and control groups were 169.9 mg/dL and 176.7 mg/dL, respectively (p < 0.001). The intervention group had a reduction in hypoglycemia and the control group an increase.
  
  
  CONCLUSIONS
  This computer-assisted consulting model was found to be potentially very workable for the management of inpatient hyperglycemia in hospitals with high patient volumes in Asia.
authors: a 1 Division of Endocrinology and Metabolism, Department of Internal Medicine, Changhua Christian Hospital , Changhua, Taiwan.
authors: Shi-Dou
authors: SD
authors: Lin
authors: a 1 Division of Endocrinology and Metabolism, Department of Internal Medicine, Changhua Christian Hospital , Changhua, Taiwan.
authors: Shih-Te
authors: ST
authors: Tu
authors: a 1 Division of Endocrinology and Metabolism, Department of Internal Medicine, Changhua Christian Hospital , Changhua, Taiwan.
authors: Mei-Jung
authors: MJ
authors: Lin
authors: a 1 Division of Endocrinology and Metabolism, Department of Internal Medicine, Changhua Christian Hospital , Changhua, Taiwan.
authors: Ya-Leng
authors: YL
authors: Jhang
authors: a 1 Division of Endocrinology and Metabolism, Department of Internal Medicine, Changhua Christian Hospital , Changhua, Taiwan.|b 2 College of Medicine, Chung Shan Medical University , Taichung, Taiwan.|c 3 Graduate Institute of Integrated Medicine, China Medical University , Taichung, Taiwan.
authors: Ming-Chia
authors: MC
authors: Hsieh
mesh_terms: D044466:Asian People; D001786:Blood Glucose; D016022:Case-Control Studies; D020000:Decision Support Systems, Clinical / Q000458:organization & administration*; D005260:Female; D006784:Hospitals, Teaching / Q000706:statistics & numerical data*; D006801:Humans; D006943:Hyperglycemia / Q000188:drug therapy / Q000208:ethnology*; D007003:Hypoglycemia / Q000208:ethnology; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007297:Inpatients; D007318:Inservice Training; D008297:Male; D050316:Medical Order Entry Systems; D010348:Patient Care Team; D011320:Primary Health Care; D013624:Taiwan / Q000453:epidemiology
chemical_list: D001786:Blood Glucose; D007004:Hypoglycemic Agents
keywords: Computerized reminder; consultant team; diabetes; inpatient hyperglycemia