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Updated: Sep 13, 2025

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Impact of a Specialized Team in Diabetes on Glucometric Parameters and Efficiency Indicators During Hospital
Pedro Gil1,2,3, Judit Amigó1,2,3, Ángel Ortiz-Zúñiga1,2
1Endocrinology and Nutrition Department, Vall d'Hebron University Hospital, Barcelona, Spain.
Abstract:
The study aimed to assess the impact of a specialized diabetes team (SDT) on medical units in terms of the improvement of glycemic parameters and hospital efficiency indicators such as length of stay (LOS) and readmissions. For this purpose, a prospective study including 289 patients under standard of care and 149 under the management of SDT was conducted. The SDT comprised two endocrinologists and two nurses specialized in diabetes. Patients under SDT management presented a significant reduction of both hypoglycemia prevalence 8.8% versus 17.6% (P = 0.013) and LOS (12.56 ± 11.94 vs. 16.28 ± 15.54; P = 0.005). In the multivariate analysis, hypoglycemia was independently related to LOS. In addition, the management by SDT resulted in a reduction in readmissions due to acute hyperglycemia at 3 months after the discharge (P = 0.019). We conclude that the management of diabetes by an SDT in medical units is an effective and cost-benefit strategy.
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