Diabetes is a serious condition that usually doesn’t require hospitalization unless it’s severe. However, diabetes patients admitted for other medical reasons face a higher risk of complications, particularly infections and hospital readmissions.
Dr. Roma Gianchandani, medical director of Diabetes Quality at Cedars-Sinai, explained that high blood sugar can make patients more vulnerable to infections, especially if they have open surgical wounds. Additionally, many diabetic patients suffer from other conditions, such as high blood pressure or kidney issues, which can worsen during a hospital stay.
Even those without diabetes can experience elevated blood glucose levels while hospitalized due to stress from illness and medications, a condition known as stress-induced hyperglycemia.
Dr. Gianchandani emphasizes the importance of advocating for yourself during hospitalization, especially if you have diabetes or are at risk for stress-induced hyperglycemia. She offers several tips for managing these conditions while in the hospital.
Before being admitted, check with your doctor about whether you can bring devices like a continuous glucose monitor (CGM) or an insulin pump. Most hospitals, including Cedars-Sinai, allow patients to use these devices. However, CGM readings are often cross-checked with blood sugar tests during a hospital stay, as CGMs are not FDA-approved for hospital use. Be sure to bring extra supplies, such as batteries and adhesives.
When you arrive at the hospital, inform your care team about your diabetes diagnosis, especially if you have Type 1 diabetes. This ensures that you receive the appropriate long-acting insulin during your stay. Dr. Gianchandani stressed the importance of maintaining focus on diabetes care, even when you’re being treated for other conditions like heart disease.
Because hospital environments can be fast-paced, it’s crucial to ensure your diabetes management stays on track. Ask your care team about your blood sugar levels and any adjustments to your medication, particularly if you’re rushed to tests or procedures.
If you are diagnosed with stress-induced hyperglycemia, request an A1C test to confirm whether you have developed diabetes. Some people recover from this condition before leaving the hospital, while others may continue to experience high blood sugar after discharge. In either case, ask to meet with a diabetes educator to learn how to manage the condition at home.
Hospitals may offer diabetes education for patients with poorly controlled diabetes or new diagnoses. However, Dr. Gianchandani advises that comprehensive education is best provided in outpatient settings, like Cedars-Sinai’s Diabetes Outpatient Treatment and Education Center.
Finally, when it’s time to leave the hospital, make sure you understand the next steps in managing your condition. If your diabetes care plan has changed, or if you were diagnosed with stress-induced hyperglycemia, schedule a follow-up appointment with your healthcare provider soon after discharge. Be sure you have a clear plan for continuing your care at home.
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