J Korean Diabetes.  2023 Mar;24(1):35-41. 10.4093/jkd.2023.24.1.35.

The Role of Educational Nurses in Inpatient Management for Diabetes Care: 2023 ADA Practice Guidelines

• Song YS

• KMID: 2540919
• DOI: http://doi.org/10.4093/jkd.2023.24.1.35

Abstract

Diabetes management for inpatients is difficult for many hospitals and education experts. Hospital medical staff tends to rely only on a “sliding scale” of insulin to address high glucose level and often overlook hyperglycemia. In order to support hospitalized people with diabetes and hyperglycemia, diabetes management and education experts must be employed. In addition, there are movements calling for development of an inpatient blood sugar management department. Diabetes education should target not only education of patients, family, and caregivers regarding care of inpatients, but also multidisciplinary team training and diabetes-related organizational quality indicators and results.

Keyword

Diabetes mellitus; Hospitalization; Inpatients; Self care

Reference

1.NHS Digital. National Diabetes Inpatient Audit (NaDIA)-2017. Available from: https://digital.nhs.uk/data-and-information/publications/statistical/nation-al-diabetes-inpatient-audit/national-diabetes-inpatient-audit-nadia-2017.

2.IDF Diabetes Atlas. Diabetes data report 2000–2045. Available from: https://diabetesatlas.org/data/en/world/.

3.NHS Digital. National Diabetes Inpatient Audit (NaDIA)-2019. Available from: https://digital.nhs.uk/data-and-in-formation/publications/statistical/national-diabetes-in-patient-audit/2019.

4.Drincic A., Pfeffer E., Luo J., Goldner WS. The effect of diabetes case management and Diabetes Resource Nurse program on readmissions of patients with diabetes mellitus. J Clin Transl Endocrinol. 2017. 8:29–34.

5.American Diabetes Association. Economic costs of diabetes in the U.S. in 2012. Diabetes Care. 2013. 36:1033–46.

6.Diabetes UK. Diabetes inpatient and hospital care. Available from: https://www.diabetes.org.uk/professionals/resources/shared-practice/inpatient-and-hospital-care.

7.American Diabetes Association. Economic costs of diabetes in the U.S. in 2017. Diabetes Care. 2018. 41:917–28.

8.Nassar CM., Montero A., Magee MF. Inpatient diabetes education in the real world: an overview of guidelines and delivery models. Curr Diab Rep. 2019. 19:103.

9.Powers MA., Bardsley JK., Cypress M., Funnell MM., Harms D., Hess-Fischl A, et al. Diabetes self-management education and support in adults with type 2 diabetes: a consensus report of the American Diabetes Association, the Association of Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association. Sci Diabetes Self Manag Care. 2021. 47:54–73.

10.Gianchandani R., Dubois E., Alexanian S., Rushakoff R. Preoperative, intraoperative, and postoperative glucose management. American Diabetes Association , editor. Managing diabetes and hyperglycemia in the hospital setting: a clinician's guide. Alexandria: American Diabetes Association;2016. p. 129–44.

11.Royal College of Anaesthetists. Guidelines for the Pro-vision of Anaesthetic Services (GPAS). Available from: www.rcoa.ac.uk/gpas2019.

12.Karajgikar ND., Manroa P., Acharya R., Codario RA., Reider JA., Donihi AC, et al. Addressing pitfalls in management of diabetic ketoacidosis with a standardized protocol. Endo-cr Pract. 2019. 25:407–12.

13.Klonoff DC., Draznin B., Drincic A., Dungan K., Gianchandani R., Inzucchi SE, et al. PRIDE statement on the need for a moratorium on the CMS plan to cite hospitals for performing point-of-care capillary blood glucose monitoring on critically Ill patients. J Clin Endocrinol Metab. 2015. 100:3607–12.