Our main finding was that, while a large proportion (42%) of patients had diabetes in the ward, almost no one was managed optimallypic.twitter.com/ZGxgC1KNjo
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Our main finding was that, while a large proportion (42%) of patients had diabetes in the ward, almost no one was managed optimallypic.twitter.com/ZGxgC1KNjo
There were a number of new diagnoses of diabetes in this patient cohort, but none of them were referred to endocrinology services and most didn't have this mentioned in their discharge referral
Unsurprisingly, people with diabetes were sicker than people without, with more hypertension, CAD, dyslipidemia, medication use, and other issues
This is really the take-home. Cardiology services are - understandably - focused on immediate management of acute cardiac episodes But cardiology admissions are a great time to review diabetes management as well!pic.twitter.com/cNfsye2AKh
It really comes back to what our aim as a service is: we can do a fantastic job of helping people with their hearts, but if we don't manage their diabetes as well, they'll just be back in hospital again soon
That being said, no one has time to be a specialist in all things, so it's up to us to collaborate better across departments to improve patient care In fact, this whole study would not have been possible without the help of both departments working together
Since this audit we've implemented a collaboration between the cardiology and diabetes inpatient services and are currently reviewing the results It'll be interesting to see if we've made a dent in these numbers
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