The status of diabetes and hospital hyperglycemia
The rate of pre-existing diabetes history in adult inpatients was 17.7%. Excluding the inpatient Endocrinology ward, Cardiac Surgery (42.9%), Nephrology (36.7%) and Neurology (35.5%) were noted to have the highest rates of DM history, while the Plastic Surgery (4.5%), Gynecology (4.4%), and Intensive Care Unit (ICU) (2.6%) wards had the lowest rates. The incidence of HH and SHH based on serum glucose testing was 26.1% and 12.8%, overall. In non-intensive care unit inpatients, the rates of HH and SHH were 20.7% and 10.8%, respectively. Excluding the Endocrinology inpatient ward, the ICU had the highest incidence of hyperglycemia (HH-73.6% and of SHH- 30.6%) being followed by Cardiac surgery (HH- 48.6% and SHH-34.3%) and Cardiology + CCU (HH- 36.5% and SHH- 22.5%). On the other hand, Plastic surgery (HH and SHH- 0%), Obstetrics (HH- 1.9% and SHH - 0.7%), and Gynecology (HH - 2.9% and SHH - 1.3%) had the lowest incidences (Table 1).
Before HMA activation, Neurology required the largest amount of glycemic related consultations (16.4/month) followed by Cardiology + CCU (12.7/month) and Orthopedics (5.8/month). Thoracic Surgery, Gastrointestinal Surgery, Cardiac Surgery, and General Practice had requested no more than one consultation per month (Table 1).