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J Diabetes Sci Technol. 2015 May 18;9(5):1155-7. doi: 10.1177/1932296815586581.

Patient Self-Management of Diabetes Care in the Inpatient Setting: Con.

Author information

1
Division of Endocrinology and Metabolism, University of California, San Francisco, CA, USA.
2
Division of Endocrinology and Metabolism, University of California, San Francisco, CA, USA Robert.Rushakoff@ucsf.edu.

Abstract

Self-management of diabetes by inpatients can be problematic. People with type 1 diabetes often prefer to self-manage their diabetes in the inpatient setting. We report the case of a patient admitted to the surgical service who was self-administering his home insulin, often without telling his nurse or physician. He was aiming for tight glycemic control, which resulted in life-threatening hypoglycemia. While patients can often self-manage their diabetes in the outpatient setting, inpatient management of diabetes is very different. Patients may not be familiar with common scenarios requiring adjustments of insulin therapy. Therefore, we recommend against self-management of diabetes in the hospital. However, the patients should be involved in discussions about management of their diabetes in the hospital to allay their concerns about changes made to their insulin regimens. An example of successful cooperative management is with use of protocols that allow continued use of insulin pumps in the hospital.

KEYWORDS:

hypoglycemia; inpatient diabetes; insulin pump; self-management; type 1 diabetes

PMID:
25990293
PMCID:
PMC4667332
DOI:
10.1177/1932296815586581
[Indexed for MEDLINE]
Free PMC Article

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