- Part 1 Principles of international endocrine practice
- Part 2 Pituitary and hypothalamic diseases
- Part 3 The thyroid
- Part 4 Parathyroid, calcium, and bone metabolism
- Part 5 The adrenal gland and endocrine hypertension
- Part 6 Neuroendocrine tumours and genetic disorders
- Part 7 Growth and development during childhood
- Part 8 Female endocrinology and pregnancy
- Part 9 Male hypogonadism and infertility
- Part 10 Endocrinology of ageing and systemic disease
- Part 11 Endocrinology of cancer
- Part 12 Obesity, lipids, and metabolic disorders
- Part 13 Diabetes mellitus
- 13.1 Classification and diagnosis of diabetes mellitus
- 13.2 Aetiology and pathogenesis of type 1 diabetes mellitus
- 13.3 Aetiology and pathogenesis of type 2 diabetes mellitus
- 13.4 Management of diabetes mellitus
- 13.4.1 Clinical features, lifestyle management, and glycaemic targets in type 2 diabetes mellitus
- 13.4.2 Pharmacological therapy of hyperglycaemia in type 2 diabetes mellitus
- 13.4.3 Diabetes in diverse ethnic groups
- 13.4.4 Structured education for people with type 2 diabetes mellitus
- 13.4.5 Metabolic surgery in the treatment of type 2 diabetes mellitus
- 13.4.6 Management of type 1 diabetes mellitus
- 13.4.7 Type 1 and type 2 diabetes mellitus in children
- 13.4.8 Hypoglycaemia in the treatment of diabetes mellitus
- 13.4.9 Non-biological technologies in glucose sensing
- 13.4.10 Management of diabetes mellitus in special situations
- 13.4.10.1 Hyperglycaemic crises in adult patients with diabetes mellitus
- 13.4.10.2 Diabetic ketoacidosis in childhood and adolescence
- 13.4.10.3 Management of the inpatient with diabetes mellitus
- 13.4.10.4 Insulin therapy in the intensive care unit
- 13.4.10.5 Diabetes management in surgery
- 13.4.10.6 Diabetes management in pregnancy
- 13.5 Microvascular complications
- 13.6 Macrovascular diseases and diabetes mellitus
- 13.7 The diabetic foot
- 13.8 Mental health and diabetes mellitus
- 13.9 Organization of diabetes care
- 13.10 Transplantation in Diabetes
- 13.11 Gene therapy in diabetes mellitus
(p. 1895) Management of the inpatient with diabetes mellitus
- Chapter:
- (p. 1895) Management of the inpatient with diabetes mellitus
- Author(s):
Paul G. McNally
and Maggie Sinclair Hammersley
- DOI:
- 10.1093/med/9780199235292.003.1482
Little attention has focused on aspects of diabetes care and glucose control of patients admitted to hospital. The majority of patients are admitted due to an unrelated general medical or surgical disorder and glucose control is often ignored, with the primary condition taking precedence. Their care is often delegated to nonspecialists and, as a consequence, standards of care vary and length of stay is often longer than age-matched patients without diabetes (1–3). A national survey of inpatient services in the UK in 2005–2006 identified substantial gaps in service provision for inpatient diabetes care; one-third of UK acute hospitals reported that they did not have diabetes management guidelines for day surgery, endoscopy, barium studies, or diabetes-related foot problems (4). Also, in many UK hospitals up to one-third of patients were not routinely managed by the diabetes specialist team and only 50% of acute hospitals in the UK had a diabetes inpatient specialist nurse in post (4).
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- Part 1 Principles of international endocrine practice
- Part 2 Pituitary and hypothalamic diseases
- Part 3 The thyroid
- Part 4 Parathyroid, calcium, and bone metabolism
- Part 5 The adrenal gland and endocrine hypertension
- Part 6 Neuroendocrine tumours and genetic disorders
- Part 7 Growth and development during childhood
- Part 8 Female endocrinology and pregnancy
- Part 9 Male hypogonadism and infertility
- Part 10 Endocrinology of ageing and systemic disease
- Part 11 Endocrinology of cancer
- Part 12 Obesity, lipids, and metabolic disorders
- Part 13 Diabetes mellitus
- 13.1 Classification and diagnosis of diabetes mellitus
- 13.2 Aetiology and pathogenesis of type 1 diabetes mellitus
- 13.3 Aetiology and pathogenesis of type 2 diabetes mellitus
- 13.4 Management of diabetes mellitus
- 13.4.1 Clinical features, lifestyle management, and glycaemic targets in type 2 diabetes mellitus
- 13.4.2 Pharmacological therapy of hyperglycaemia in type 2 diabetes mellitus
- 13.4.3 Diabetes in diverse ethnic groups
- 13.4.4 Structured education for people with type 2 diabetes mellitus
- 13.4.5 Metabolic surgery in the treatment of type 2 diabetes mellitus
- 13.4.6 Management of type 1 diabetes mellitus
- 13.4.7 Type 1 and type 2 diabetes mellitus in children
- 13.4.8 Hypoglycaemia in the treatment of diabetes mellitus
- 13.4.9 Non-biological technologies in glucose sensing
- 13.4.10 Management of diabetes mellitus in special situations
- 13.4.10.1 Hyperglycaemic crises in adult patients with diabetes mellitus
- 13.4.10.2 Diabetic ketoacidosis in childhood and adolescence
- 13.4.10.3 Management of the inpatient with diabetes mellitus
- 13.4.10.4 Insulin therapy in the intensive care unit
- 13.4.10.5 Diabetes management in surgery
- 13.4.10.6 Diabetes management in pregnancy
- 13.5 Microvascular complications
- 13.6 Macrovascular diseases and diabetes mellitus
- 13.7 The diabetic foot
- 13.8 Mental health and diabetes mellitus
- 13.9 Organization of diabetes care
- 13.10 Transplantation in Diabetes
- 13.11 Gene therapy in diabetes mellitus