Related Experiment Video
Updated: Sep 2, 2025
10:03
A Zebrafish Model of Diabetes Mellitus and Metabolic Memory
Published on: February 28, 2013
25.9K
Readmission Predictors in Patients With Type II Diabetes
Veronica Santos Timple1, Lina Najib Kawar
1Patient Care Services, Kaiser Permanente San Diego Medical Center, San Diego, California (Dr Timple); and Regional Nursing Research Program, Kaiser Permanente Southern California Patient Care Services, Pasadena, California (Dr Kawar).
Journal of Nursing Care Quality
|August 10, 2022
Summary
Type II diabetes patients with more comorbidities or Hispanic ethnicity face higher readmission risks. Diabetes self-management education and combined oral/insulin medications reduce 30-day hospital readmissions.
Area of Science:
- Clinical Medicine
- Endocrinology
- Public Health
Background:
- Hospital readmissions are frequent in type II diabetes patients, significantly increasing morbidity.
- Predictive factors for preventable type II diabetes readmissions require further investigation.
Purpose of the Study:
- To identify key predictors of 30-day hospital readmission in patients diagnosed with type II diabetes.
- To analyze the impact of comorbidities, demographics, and treatment interventions on readmission rates.
Main Methods:
- A single-site study involving 400 patients with type II diabetes.
- Examined the influence of comorbidities, race, endocrinology consultations, diabetes self-management education, and medication regimens on 30-day readmissions.
Main Results:
- Increased comorbidities, Hispanic ethnicity, and endocrinology consultations were associated with higher readmission likelihood.
- Diabetes self-management education and combined oral and insulin medication use were linked to decreased readmissions.
Conclusions:
- Identified critical factors influencing 30-day readmission for type II diabetes patients.
- Highlights the importance of diabetes self-management education in reducing hospital readmissions.
- Informing nursing strategies to enhance care quality and prevent readmissions.
Related Concept Videos
01:22Diabetes Mellitus: Type 2 and Gestational
2.7K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.7K
01:15Diabetes: Symptoms, Diagnosis, and Complications
668
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
668
01:22Diabetes Mellitus: Overview and Type I Subtype
3.0K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
3.0K
01:36Carbohydrate Metabolism
11.5K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
11.5K
01:15Diabetes: Management and Pharmacotherapy
344
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
344
01:16Insulin: Dosing Regimen and Adverse Effects
236
Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
236