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Diabetes to Go: Knowledge- and Competency-Based Hospital Survival Skills Diabetes Education Program Improves

Michelle F Magee^1,2, Nawreen H Khan¹, Sameer Desale³

¹MedStar Diabetes Institute and MedStar Health Research Institute, Washington, DC, USA (Dr Magee, Ms Khan, Ms Nassar)

The Diabetes Educator

|February 22, 2014

Abstract

Purpose:

The primary purpose of this study was to demonstrate the feasibility of providing inpatient knowledge-based diabetes "survival skills" education. In addition, the preliminary impact of the survival skills education intervention on medication adherence and hospital plus emergency department admissions was assessed.

Methods:

This study was a prospective nonrandomized pilot study conducted in an urban teaching hospital. In sum 125 adults consented-the majority of whom were African American women-with uncontrolled diabetes: blood glucose > 200 mg/dL or < 40 mg/dL upon admission to general medicine units. Mean admitting blood glucose was 283 ± 128 mg/dL. Evaluation measures were diabetes knowledge, medication adherence, and hospital admissions plus emergency department visits at and/or 3 months before baseline and at 2 weeks and 3 months postdischarge.

Results:

There was improvement in diabetes knowledge and medication adherence, which was sustained to 3 months. A trend was observed toward reduction in emergency department and/or hospital admissions from 3 months preintervention to 3 months postdischarge for uncontrolled diabetes.

Conclusions:

This knowledge-based program successfully provided survival skills education to hospital patients with uncontrolled diabetes and demonstrated preliminary evidence of a positive impact on medication adherence and a trend toward reduction in hospital and emergency department admissions.

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