Left Side

Lorem ipsum summo nominavi pri et. Stet eruditi perfecto at sed, ad enim constituto deseruisse quo, mea no quem eros munere. Ad splendide quaerendum per, ea minimum officiis oportere vel, an has perpetua percipitur. Consequat contentiones his te, id noster menandri his. Per partem perfecto eu, est soluta accusata ex.

Lorem ipsum summo nominavi pri et. Stet eruditi perfecto at sed, ad enim constituto deseruisse quo, mea no quem eros munere.

Management of Diabetes: Hospitalization

Most individuals with diabetes are likely to require hospitalization sometime. One may have to enter hospital as an emergency, as a non-elective admission when proper planning is not possible. Admission into hospital may be elective or planned, for instance, a. surgical procedure.

In case of hospitalization, a diabetic should carry the following:

A list of current medications, their dosage, the time of their administration, the time when the last dose was administered; insulin vials, insulin syringes and current medications.
A record of known allergy to drugs, food stuffs or pollens.
The urine/blood glucose test strips and meter (in case it is being used). It is useful to check the accuracy of the personal equipment against the hospital equipment.
The usual meal plan. The hospital dietitian or the doctor can base the hospital diet on this usual meal plan.
Sugar-containing snacks which can be taken in event of hypoglycaemia and non-sugar containing snacks like biscuits, which can be taken if meals are skipped or delayed.
Sturdy bedroom slippers or shoes.
Warm, loose fitting socks in winter.
Oil or moisturizing lotion, if feet are dry or talcum powder if feet are moist.
Diabetes identity card.
Reports of investigations.

Even in an emergency admission, the patient or some responsible relative should inform the attending doctor, the details of current treatment for example the type and dose of insulin, the names and doses of other medications, allergies and other medical problems.

After admission to the hospital, the information on diabetes, other medical conditions, medications and allergies should be notified to the attending doctor and the nurse. The treatment regimens which had worked or had not worked in the past, should also be reported to the attending doctor.

It is possible that insulin is started for the First time in the hospital. The patient and some responsible relative should learn the correct technique of insulin injection and start injecting insulin oneself, initially under supervision, while in hospital. Similarly, the patient and some responsible relative should study the hospital diet plan and learn urine/blood sugar testing. The stay in hospital should be utilized fully not only from the point of view of diagnosis and treatment but also from the education point of view.

All episodes of sudden weakness, sweating, shaking or blurred vision that suggest hypoglycaemia should be notified to the attending staff immediately. Reports of investigations and instructions about treatment should be collected at the time of discharge from hospital. The level of activity increases after discharge from hospital; consequently insulin requirement is reduced after discharge from the hospital.

The treating doctor should be informed about the progress made at home. Regular follow-up is essential.

DiabetesCarePlan

Liquid 3-Column CSS Template

Left Side

Left Side

Management of Diabetes: Hospitalization