Current situation of blood glucose management in inpatients with diabetes mellitus in non-endocrinology department
Objective To evaluate the current situation of blood glucose management of inpatients with diabetes mellitus (DM) in non-endocrinological department,and to find the existing problems in blood glucose management. Methods Adults with a diagnosis of DM who were discharged from the First Hospital of Jiaxing from January 1 to December 31,2022 were included. The first page of medical records,doctor's advices,and blood glucose monitoring data were collected. The detection rate of DM patients and the process indexes of blood glucose management were calculated. Population model,individual model and person-day model were used to evaluate the outcome of blood glucose management. The differences between surgical and non-surgical patients in terms of process and outcome indicators were compared. Results A total of 11629 DM patients were included,of which 10620 (91.32％) were distributed in non-endocrinology department. The detection rate of DM patients in non-endocrinological department was 11.83％,the detection rate of glycosylated hemoglobin (HbA1c) was 60.29％,and the detection rate of fasting blood glucose (FBG) was 89.91％. The rate of peripheral blood glucose monitoring was 88.85％,the rate of DM diet prescription was 85.59％,and the rate of endocrinology consultation was 31.21％. The HbA1c detection rate in surgical group was lower than that in non-surgical group,the FBG detection rate and the DM diet prescription rate were higher than those in non-surgical group (P<0.001). There were statistically significant differents in the target range of blood glucose,severe hyperglycemia and hypoglycemia among three models (P<0.001). In both the population model and the person-day model,the target range blood glucose ratio in surgical group was higher than that in non-surgical group,and the incidence of severe hyperglycemia was lower than that in non-surgical group (P<0.001). Conclusion The detection rate of DM in non-endocrinology department is high,and there are differences in blood glucose management quality indexes between surgical and non-surgical patients. It is necessary to carry out blood glucose management in the whole hospital to improve the quality and homogeneity of blood glucose management in non-endocrinology department.
Diabetes mellitusInpatientsBlood glucose managementNon-endocrinology department
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