While in hospital
Standard 13
People with diabetes admitted to hospital for any reason should be cared for by appropriately trained staff, and provided access to an expert diabetes team when necessary. They should be given the choice of self-monitoring and encouraged to manage their own insulin whenever clinically appropriate.
Key practice points
The literature clearly demonstrates cost savings and a reduced length of stay for inpatients with diabetes who had access to a diabetes specialist inpatient service.
All hospitals should have a dedicated diabetes inpatient specialist nurse service at a minimum level 1.0 full-time equivalent per 300 beds (adjusted for local diabetes prevalence).
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.
People with diabetes who can demonstrate their ability to manage their diabetes while in hospital should resume self-management as soon as possible.
Read this standard in conjunction with the equality and diversity section in the Introduction to the Toolkit.
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