Title:Discharge Planning for People with Inpatient Hyperglycaemia: A Review
on Pharmacological Management
Volume: 19
Issue: 9
Author(s): Kalyan Kumar Gangopadhyay*, Rakesh Kumar Sahay, Sunil Gupta, Vageesh Ayyar, Sambit Das, Saptarshi Bhattacharya, Sudhir Bhandari and Arpandev Bhattacharyya
Affiliation:
- Department of Endocrinology, CK Birla Hospitals, Kolkata, India
Keywords:
Diabetes mellitus, discharge planning, inpatient hyperglycaemia, hospital readmission, discharge checklist, insulin therapy.
Abstract: Inadequate glycaemic control post-discharge is the root cause of readmission in people
with diabetes mellitus (DM) and is often linked to improper discharge planning (DP). A structured
DP plays a crucial role in ensuring continuing home care and avoiding readmissions. DP should
help patients in self-care and provide appropriate guidance to maintain optimal glycaemic control.
There is a scarcity of reports and recommendations on the proper DP for people with DM on insulin
therapy. The present review provides important consideration based on experts’ opinions from
the National Insulin and Incretin summit (NIIS), focusing on the effective treatment strategies at
the time of discharge, especially for insulin therapy. A review of literature from PubMed and Embase
was conducted. The consensus was derived, and recommendations were made on effective DP
for patients with DM. Recommendations were drawn at the NIIS for post-discharge treatment for
medical and surgical cases, stress-induced hyperglycaemia, elderly, pregnant women, and coronavirus
disease 2019 (COVID-19) cases. The committee also recommended a comprehensive checklist
to assist the physicians during discharge.
