A Study On The Management Of Uncontrolled Diabetes In Medical Wards Of Hospital Kuala Lumpur
Loganadan, Navin Kumar, and Norny Syafinaz Ab Rahman, and Fadzlin Mokhtar , (2005) A Study On The Management Of Uncontrolled Diabetes In Medical Wards Of Hospital Kuala Lumpur. Malaysian Journal of Pharmaceutical Sciences, 3 (2). pp. 43-43. ISSN 16575-7319 AffiliationsHospital Kuala Lumpur, Pharmacy Division.
Hospital Kuala Lumpur, Pharmacy Division.
Hospital Kuala Lumpur, Pharmacy Division. AbstractOBJECTIVES: To identify the characteristics of patients admitted to the hospital for uncontrolled diabetes and evaluate the efficacy of therapy given.
METHODS: Retrospective method was used whereby medical records of eligible patients were reviewed from August to December 2003. Data on demography, diabetes history, precipitating factor for uncontrolled diabetes, insulin therapy, glycemic control, and incidence of hypo-glycemia were recorded in a standard form. Glycemic control was classified as 'good', 'suboptimal' and 'poor' based on the percentage of readings that fell in the specified target range of 4 to 9 mmol/L.
RESULTS: Majority of patients hospitalized for uncontrolled diabetes was elderly (mean age 58 years) and of Malay race (54%). Most of them were Type 2 diabetes patients (73%) and had previous history of diabetes (94.5%).
The incidence of uncontrolled diabetes was higher in patients who had relatively shorter duration of diabetes (p<0.05). Infection (40%) was found to be the main precipitating factor for uncontrolled diabetes followed by medication non-compliance (30%).
The initial dose of insulin prescribed did not depend on the patient's RBS level (p>0.05). Only 37.8% of subjects showed 'good' glycemic control during their stay in the ward. The discharge date of patients did not depend on whether their RBS levels reached normal range or not (p>0.05). The incidence of hypoglycemia was 32%.
CONCLUSION: The outcome of the management of uncontrolled diabetes in hospital is still poor and health care professionals should work as together as a multidisciplinary team to ensure optimal therapeutic outcome of the patient. | Item Type: | Journal |
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| Additional Information: | Paper presented at the 5th Asian Conference on Clinical Pharmacy, 2005 |
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| Keywords: | Diabetes, Control of, Malaysia |
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| Subjects: | R Medicine, Dentistry, Pharmacy, Nursing |
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| ID Code: | 6891 |
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