New study from my team published over the break We looked at the management of diabetes in the cardiology ward, and found that mostly it wasn't managed very much, if at allhttps://dmsjournal.biomedcentral.com/articles/10.1186/s13098-018-0393-7 …
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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
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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
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Unsurprisingly, people with diabetes were sicker than people without, with more hypertension, CAD, dyslipidemia, medication use, and other issues
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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
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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
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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
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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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Oh absolutely, we've got some more research coming out in the primary space. This is part of our in-hospital effort only 
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