Optimizing hyperglycaemia management in the Acute Medical Unit: investigation of barriers to achieving adequate glucose control in patients with diabetes in the acute medical setting; introduction and evaluation of tools to assist clinicians in prescribing insuli

Recruiting

• Conditions: diabetes; Metabolic and Endocrine - Diabetes

• Registration Number: ACTRN12616001147471
• Lead Sponsor: Dr Anne Corbould

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2016-08-23
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 400

Inclusion Criteria

The group of patients will be disparate, reflecting real-world clinical practice i.e. inclusion criteria will be broad:
Patients requiring subcutaneous insulin on admission to AMU – whether or not previously treated with insulin
Patients with known diabetes (Type 1/Type 2) or no previous diagnosis of diabetes.
Duration of admission 48 hours or greater.

Hospital staff to be included in the survey of knowledge/attitudes regarding inpatient diabetes management are: interns and resident medical officers who work in the AMU on rotation, consultant physicians who are permanently based in the AMU, and nursing staff who are permanent AMU staff and also on rotation in the AMU.

Exclusion Criteria

Patients admitted with diabetic ketoacidosis
Patients who are not eating and/or requiring intravenous insulin
Patients whose prognosis is so poor that management of hyperglycaemia is not indicated.

Exclusion criteria for hospital staff are speciality junior medical staff and consultant physicians whose patients are occupying an AMU bed, but are not cared for by the AMU medical staff.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The primary endpoint will be blood glucose levels pre- and post-implementation of the insulin management protocol. The results of mean blood glucose levels at fasting, nonfasting (i.e. pre-lunch, pre-evening meal and bedtime) per day of admission and mean glucose levels (mean of all glucose levels during the hospital stay) will be compared. This is a composite primary outcome. Blood glucose levels are assessed using a blood glucose meter. [Data from 6 months prior to intervention: and from 3 and 6 months post-intervention.]