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If You're Hospitalized for Trauma and You Have Diabetes - Watch Out!
Studies have already shown that people with diabetes do worse than non-diabetics after being hospitalized for stroke, heart attack, and heart surgery. Now researchers have found that they do worse after being hospitalized for trauma (a physical injury) as well.
A comparison of 12,489 patients with diabetes against 12,489 similar patients without diabetes, all of whom were hospitalized for trauma between 1984 and 2002, found that trauma patients with diabetes spend over a day longer in the intensive care unit than non-diabetics, stay on ventilators over two days longer, and are more likely to have complications during their hospital stay.
People with diabetes don't stay any longer in the hospital itself than non-diabetics, and they aren't any more likely to die during their stay, which is reassuring. However, they are more likely to require skilled nursing care after their hospital stay than those without diabetes.
The authors did not know whether the worse outcomes for people with diabetes were due to immune system alterations, poor sugar control while hospitalized, or pre-existing health problems. They noted that further study is needed to evaluate the potential benefits of tight blood sugar control on the outcomes of diabetic patients who are hospitalized for trauma.
Sources: EurekAlert
JAMA Archives of Surgery, July 2007
Categories: Blood Sugar, Diabetes, Diabetes, Hospital Care, Professional Issues, Type 1 Issues
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Diabetes Health is the essential resource for people living with diabetes- both newly diagnosed and experienced as well as the professionals who care for them. We provide balanced expert news and information on living healthfully with diabetes. Each issue includes cutting-edge editorial coverage of new products, research, treatment options, and meaningful lifestyle issues.
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- Hyperglycemia
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Comments
I work for a hospital as an RN, thinking the people at our hospital that employes over 7000 people, you would think someone would be smart. I'm on the insulin on tight control and I'm on the insulin pump. I needing to be taken to the ER due to being in DKA. I have MedicAlert neckless they didn't look at it, nor did they contact family. The er nurse had taken off the pump thinking that was causing the issue, and taken out my infusion set. Making matters even worse due to they didn't have the correct dosages or even my medical info. When came to be noticed that I didn't show up for my shift, calls were made. A co-worker had see me in the ER and made a commet to the charge nurse. I was then she had came down and raise cane when she found that the insulin pump was taken off and blood levels were way above 600. They didn't know that I was an employee, when they found out they were walking carefully on their toes. Since then, everyone is required to take a class on diabetes and get pump training.
Diabetes care in Swedish Hospital, Seattle made me sicker than I was when I entered the hospital. First it took 5 visits to the ER to convince them gastroparesis was causing me to vomit to the point where I had severe dehydration. Because I have kidney disease, they refused to give me IV fluids or admit me. When they did admit me, they never communicated with my drs. for kidney disease and diabetes. I take insulin and they refused to allow me to test my own blood sugar or give my own insulin. They only tested my blood sugars after I ate. gave coverage with insulin then and no coverage in between, they had no concept of the difference between long acting insulin and short acting. They disconnected my insulin pump and refused to allow me to re-insert it. I told them my dehydration was due to gastroparesis-they restricted my fluids, saying all kidneypatients couldn't have more fluids. With gastroparesis, I have to have enough fluids or food won't digest. I ended up having higher blood sugars(which they attributed to my not following the sugar free diet they put me on) refused to give sugar for lows below 30, telling me it would rise by itself!
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