Prevalence, correlates and management of hyperglycemia in diabetic non-critically Ill patients at a tertiary care center in Lebanon

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dc.contributor.author El Khoury, Ghada
dc.contributor.author Mansour, Hanine
dc.contributor.author Kabbara, Wissam K.
dc.contributor.author Chamoun, Nibal
dc.contributor.author Atallah, Nadim
dc.contributor.author Salameh, Pascale
dc.date.accessioned 2019-02-20T14:14:46Z
dc.date.available 2019-02-20T14:14:46Z
dc.date.copyright 2019 en_US
dc.date.issued 2019-02-20
dc.identifier.issn 1875-6417 en_US
dc.identifier.uri http://hdl.handle.net/10725/10062
dc.description.abstract Background: Diabetes Mellitus is a chronic metabolic disease that affects 387 million people around the world. Episodes of hyperglycemia in hospitalized diabetic patients are associated with poor clinical outcomes and increased morbidity and mortality. Therefore, prevention of hyperglycemia is critical to decrease the length of hospital stay and to reduce complications and readmissions. Objective: The study aims to examine the prevalence of hyperglycemia and assess the correlates and management of hyperglycemia in diabetic non-critically ill patients. Methods: The study was conducted on the medical wards of a tertiary care teaching hospital in Lebanon. A retrospective chart review was conducted from January 2014 until September 2015. Diabetic patients admitted to Internal Medicine floors were identified. Descriptive analysis was first carried out, followed by a multivariable analysis to study the correlates of hyperglycemia occurrence. Results: A total of 235 medical charts were reviewed. Seventy percent of participants suffered from hyperglycemia during their hospital stay. The identified significant positive correlates for inpatient hyperglycemia, were the use of insulin sliding scale alone (OR=16.438 ± 6.765-39.941, p=0.001) and the low frequency of glucose monitoring. Measuring glucose every 8 hours (OR= 3.583 ± 1.506-8.524, p=0.004) and/or every 12 hours (OR=7.647 ± 0.704-79.231, p=0.0095) was associated with hyperglycemia. The major factor perceived by nurses as a barrier to successful hyperglycemia management was the lack of knowledge about appropriate insulin use (87.5%). Conclusion: Considerable mismanagement of hyperglycemia in diabetic non-critically ill patients exists; indicating a compelling need for the development and implementation of protocol-driven insulin order forms a comprehensive education plan on the appropriate use of insulin. en_US
dc.language.iso en en_US
dc.title Prevalence, correlates and management of hyperglycemia in diabetic non-critically Ill patients at a tertiary care center in Lebanon en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOP en_US
dc.author.idnumber 200104046 en_US
dc.author.idnumber 201205628 en_US
dc.author.idnumber 200104485 en_US
dc.author.idnumber 200201071 en_US
dc.author.department Pharmacy Practice en_US
dc.description.embargo N/A en_US
dc.relation.journal Current Diabetes Reviews en_US
dc.journal.volume 15 en_US
dc.journal.issue 2 en_US
dc.article.pages 133-140 en_US
dc.keywords Diabetes en_US
dc.keywords Hyperglycemia management en_US
dc.keywords Hospitalized patients en_US
dc.keywords Lebanon en_US
dc.keywords Tertiary care en_US
dc.keywords Non-critically ill en_US
dc.identifier.doi http://dx.doi.org/10.2174/1573399814666180119142254 en_US
dc.identifier.ctation El Khoury, G., Mansour, H., Kabbara, W. K., Chamoun, N., Atallah, N., & Salameh, P. (2019). Prevalence, Correlates and Management of Hyperglycemia in Diabetic Non-critically Ill Patients at a Tertiary Care Center in Lebanon. Current Diabetes Reviews, 15(2), 133-140. en_US
dc.author.email ghada.khoury@lau.edu.lb en_US
dc.author.email hanine.mansour@lau.edu.lb en_US
dc.author.email wissam.kabbara@lau.edu.lb en_US
dc.author.email nibal.chamoun@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url https://www.ingentaconnect.com/contentone/ben/cdr/2019/00000015/00000002/art00008 en_US
dc.orcid.id https://orcid.org/0000-0002-7642-4833 en_US
dc.orcid.id https://orcid.org/0000-0001-6383-0288 en_US
dc.orcid.id https://orcid.org/0000-0002-7310-9192 en_US
dc.orcid.id https://orcid.org/0000-0002-0987-296X en_US
dc.author.affiliation Lebanese American University en_US

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