OBJECTIVE: @entity4854 , @entity4053 , and glycemic variability have been associated with increased morbidity, mortality, and overall costs of care in hospitalized @entity1 . At the Stratton VA Medical Center, in Albany, NY, a process aimed to improve inpatient glycemic control by remotely assisting primary care teams in the management of @entity4854 and @entity6 was designed. METHODS: An electronic query comprised of hospitalized @entity1 with @entity413 values below 70mg/dL or above 350mg/dL is generated daily. Electronic medical records are individually reviewed by @entity6 specialist providers and management recommendations are sent to primary care teams when applicable. @entity413 data was retrospectively examined before and after the establishment of the DINGS process and rates of @entity4854 and @entity4053 were compared. RESULTS: @entity1 -day mean @entity413 slightly decreased from 177.6    64.4 mg/dL to 173.2    59.4 mg/dL, P < 0.001. The percentage of @entity1 -days with any value over 350 mg/dL also decreased from 9.69% to 7.36% (P < 0.001), while the percentage of @entity1 -days with mean @entity413 values in the range of 90 to 180 mg/dL increased from 58.1% to 61.4% (P < 0.001). Glycemic variability, assessed by the standard deviation of @entity413 , significantly decreased from 53.9 mg/dL to 49.8 mg/dL (P < 0.001). Moreover, rates of @entity4053 (< 70 mg/dL) decreased significantly by 41% (P < 0.001). CONCLUSION: Quality metrics of inpatient glycemic control improved significantly after the establishment of the DINGS process within our facility. Prospective controlled studies are needed to confirm a causal association.

DAILY INPATIENT GLYCEMIC SURVEY (DINGS). A PROCESS TO REMOTELY IDENTIFY AND ASSIST IN THE MANAGEMENT OF HOSPITALIZED XXXX WITH DIABETES AND HYPERGLYCEMIA.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'Patient'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes'] @entity4053 :: ('MESH:D007003', 'Disease') :: ['hypoglycemia'] @entity4854 :: ('MESH:D006943', 'Disease') :: ['hyperglycemia', 'Hyperglycemia'] @entity413 :: ('MESH:D005947', 'Chemical') :: ['glucose', 'Glucose']
@entity1 :: (9606,Species) :: ['PATIENTS']
