ECE2017 Eposter Presentations: Diabetes, Obesity and Metabolism Diabetes (to include epidemiology, pathophysiology) (95 abstracts)
Hyperinter study: evaluation of glycemic values in acute inpatients from medical and surgical units. population without diabetes
Helena Santos Gonçalves , Anusca Lopes Paixao , Cristina Lameirao , Ana Rafael , Marta Gomes , Rita Silva , Rita Queiros , Natália Lopes , Ana Filipa Rebelo & Paula Vaz Marques
Vila Real Hospital, Centro Hospitalar Trás os Montes e Alto Douro, Vila Real, Portugal.
Introduction: Although inpatients hyperglycemia is a current uneasiness among the medical community, its prevalence in Portugal in unknown. We aim to identify ‘Stress hyperglycemia’ and ‘New onset diabetes’ cases in inpatients in a district hospital.
Methods: We evaluated inpatients from Internal Medicine (IM), General Surgery (GS), Orthopedics and Traumatology (OT) and Stoke Unit (SU) departments, admitted from the emergency department, during August 2017. Excluded patients who were diabetic (phase 1). Non diabetic integrated a 3 phase study: phase 2 – Capillary glycemia evaluation 2 h after first meal; if >140 mg/dl, patient did another evalution (fasting, 2 h after meal) (phase 3); if patient still hyperglicemic, the evaluated HbA1c and hemoglobine (phase 4).
Results: Evaluated 317 patients (121 diabetic, 196 non diabetics). Non diabetic group: 89 female, 107 male, age average 68.75±18.55 years, 75 patient from IM, 75 from GS, 33 from OT and 13 from SU. 134 patients finished in phase 2, 47 in phase 3 and 15 in phase 4. From patients that finished in phase 4, A1c average was 6.12±1.3% (four: A1c ≥6.5% and three: 5.7 <A1c < 6.5%). In the previous group, only one patient had a hemoglobine <12 g/dl and three were under corticosteroids. There was no statiscal signficance between glucose values and the section of internament or days of hospital admission.
Discussion: In the non diabetic group we calculated a 23.98% of ‘Stress Hyperglycemia’, 7.66% of the patients were at higher risk of developing diabetes, because they had at least two hyperglycemic values and 2.04% were positive for Diabetes Mellitus (HbA1c ≥6.5%). The study identified a relevant percentage of people with a higher risk of developing diabetes, but a small percentage of people with diabetes; this might be explained by the efficiency of the national screening programmes.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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