STUDY OF THE EFFECTS OF THE EDUCATIONAL HOSPITALIZATION FOR DIABETES IMPLEMENTING CRITICAL PATHWAY ON LONG-TERM GLYCEMIC CONTROL

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We evaluated the effect of diabetes educational hospitalization utilizing the critical pathway (CP) on long-term glycemic control after discharge in type 2 diabetic patients by comparing changes in HbA1c in 18 patients admitted before CP introduction with those in 18 patients admitted after CP introduction. We also investigated the factors related to worsening of glycemic control after discharge from diabetes educational hospitalization. In the patients admitted before CP introduction, HbA1c had worsened significantly 24 months after discharge whereas HbA1c was unchanged for three years in the patients admitted after CP introduction. Univariate analyses revealed that newly initiated insulin therapy during hospitalization was a protective factor related to worsening of glycemic control at 18 months after discharge. Multivariate linear regression analyses revealed that CP introduction was an independent protective factor related to increase in HbA1c at 12 months after discharge and that increase in body weight at one year after discharge and age were independent facilitating factors related to increase in HbA1c at 18 months after discharge. In conclusion, diabetes educational hospitalization with CP is effective for maintaining stable glycemic control levels after discharge although the various individual factors have effects on glycemic control after discharge.

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  • 秋田医学

    秋田医学 39 (3/4), 119-127, 2013-03-30

    秋田医学会

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