The High Burden of In-Hospital Diabetes Mellitus at A Tertiary Care Hospital in Sri Lanka; A Case Control StudyArjuna B Medagama1*, Ruwanthi Bandara2 and Rasangi Wijetunge3
- *Corresponding Author:
- Dr. Arjuna B. Medagama
Senior Lecturer in Medicine, Department of Medicine
University of Peradeniya, Sri Lanka
E-mail: [email protected]
Received date: November 18, 2014; Accepted date: January 12, 2015; Published date: January 18, 2015
Citation: Medagama AB, Bandara R, Wijetunge R (2015) The High Burden of In-Hospital Diabetes Mellitus at A Tertiary Care Hospital in Sri Lanka; A Case Control Study. J Diabetes Metab 6:502. doi: 10.4172/2155-6156.1000502
Copyright: © 2015 Medagama AB, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: Sri Lanka has a very high prevalence of diabetes with poorly organized diabetes care and limited resources for in-patient management. At present, 10.3% of the population is diabetic. Aim: The aim of this study was to define the reasons for admission of diabetic patients to a tertiary care general medical unit, to calculate the point prevalence of diabetes related admissions, the mean duration of hospital stay and assess their in-hospital glycaemic control.
Design: A case-control study. Methods: Data of 300 consecutive diabetic and non-diabetic admissions to the professorial medical unit at Teaching Hospital Peradeniya were studied between 30th May and 30th August 2011.
Results: The in-hospital point prevalence of diabetes was 40.4%. One quarter of diabetes related admissions were for control of hyperglycaemia. Twenty two percent were for acute coronary syndromes and another 16% for treatment of infections. Mean duration of hospital stay was 6.6 days for diabetic patients and 4.6 days for nondiabetic patients (P<0.01). The mean hospital stay of patients presenting with hypergycaemia was 6 days. The mean fasting plasma glucose on admission and discharge in the diabetes group were 10.67 and 8.3 mmol/L respectively. Over 98% of diabetic patients had at least one in-hospital glucose value that exceeded 10 mmol/L.
Conclusion: A quarter of diabetes related admissions were for control of hyperglycaemia. Presence of diabetes mellitus significantly delayed the discharge of medical admissions. In-hospital glycaemic control of patients was generally poor. An effective diabetes outreach service needs to be initiated urgently to reduce diabetes related admissions.