Self-management in hospital
Joint British Diabetes Societies for Inpatient Care Group provide the following guideline on self-management in hospital: http://diabetologistsabcd.org.uk/JBDS/JBDS_IP_SelfManagement.pdf
The New Zealand Society for the Study of Diabetes (NZSSD) identifies the following points in their consensus statement on their ‘Inpatient Consensus Statement’ (2013):
Every person with diabetes who is hospitalised has the right to:
receive optimum diabetes care based on ‘best practice’
have a hospital stay free from harm (especially insulin, medication and food errors) and not inappropriately prolonged as a result of their diabetes management
have access to specialist diabetes advice/care
where practically possible, be actively involved in their own diabetes management during their hospital stay
diabetes care following discharge from hospital that is timely, appropriate and well-informed (www.nzssd.org.nz/documents/misc/13%2007%20NZSSD%20Inpatient%20Consensus%20Statement%20-%20Final%20version.pdf).
The role of the expert diabetes team should include:
improving diabetes management expertise throughout the hospital
development and implementation of specific diabetes management protocols
direct management of diabetes with clear referral criteria
ward liaison, troubleshooting, management advice and discharge planning
a diabetes inpatient specialist service of at least 1.0 whole-time equivalent per 300 beds (Australian Diabetes Society 2012).
The Diabetes Care article Pathways to Quality Inpatient Management of Hyperglycemia and Diabetes: A Call to Action provides detailed advice on the implementation of inpatient care: http://care.diabetesjournals.org/content/36/7/1807.full.pdf+html.
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