14 December 2017
A sweeter experience for patients with diabetes
New processes and guidelines mean patients with diabetes will recover faster from surgery and spend less time in
hospital.
The changes have been implemented through the DHB-wide ‘Sweet As’ campaign to improve management of patients’ diabetes
while they’re in hospital.
“Around 15-20 percent of inpatients – patients who stay overnight – have diabetes. That’s 120 patients with diabetes in
our hospitals at any one time,” said diabetes nurse Miranda Walker.
“A key part of managing patients’ diabetes is ensuring they don’t develop hyper or hypoglycaemia – where blood glucose
levels become too high or low. That can be difficult when a patient needs to fast before a surgery or a procedure.”
That’s why insulin management for fasting patients is being improved, along with clearer guidance around hyper and
hypoglycaemia.
“We used to wait until a patient’s blood glucose dropped below four millimoles of glucose per litre of blood before
acting. Now we act if it drops below six. We also have more consistent guidelines for treating high blood glucose –
which can lead to slower recovery, infections, and longer hospital stays.
“These changes are expected to help keep patients’ blood glucose at levels that encourage wound healing – meaning they
will recover faster from surgery, leave hospital sooner, and have a far better experience and outcome overall.”
ends