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Transition of Care: Diabetes Management after Hospital Discharge
Courtney Lynn Dominguez1, Jennifer Voigt Rowell2
1Division of Endocrinology, Metabolism, and Nutrition, Duke University, 30 Duke Medicine Circle - Clinic 1A, Durham, NC 27710, USA.
None:
Effective discharge planning for patients with diabetes requires a comprehensive, individualized approach. Patients should receive structured education on blood glucose monitoring, nutritional strategies, and recognition and management of hypoglycemia. Medication recommendations must be tailored to the patient's cognitive status, functional ability, co-morbid conditions, and overall capacity to implement the treatment regimen. Particular caution is required in older adults, in whom polypharmacy, frailty, and hypoglycemia risk are heightened. The type of diabetes will dictate appropriate pharmacologic options. Clear communication with both patient and outpatient providers is essential to ensure continuity of care and to promote a safe and effective transition.
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