Standard 14
People with diabetes admitted to hospital as a result of uncontrolled diabetes or with diabetic ketoacidosis should receive educational support before discharge and follow-up arranged by their GP and/or a specialist diabetes team.
Key practice points
All hospitals should have a dedicated diabetes inpatient specialist nurse service at a minimum level of 1.0 whole-time equivalent per 300 beds (adjusted for diabetes prevalence).
All hospitals should have an expert multidisciplinary diabetes team in place.
Increased costs associated with resourcing inpatient specialist teams are offset by cost savings seen in reduced lengths of stay and reduced rates of complications.
Clear guidelines should be in place to indicate when a specialist inpatient team should become involved in the person with diabetes’ care.
Education should include self-managing diabetes to prevent uncontrolled diabetes through effective self-monitoring, appropriate insulin dose adjusting, and sick day management.
Access to structured education offered within three months of discharge for uncontrolled diabetes may reduce readmission rates.
Read this standard in conjunction with the equality and diversity section in the Introduction to the Toolkit.
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