• Levent Sahin and Dogan Ercin.
• Department of Emergency Medicine, Kafkas University Medical School, Kars, Turkey.
• Int. J. Clin. Pract. 2021 Nov 1; 75 (11): e14808.

BackgroundThis study was conducted to determine the frequency and clinical features of patients who were diagnosed incidentally as having diabetes mellitus (DM) in the emergency department.AimOur aim was to investigate the ratio of DM in patients whose high blood glucose levels (hyperglycaemia) were detected, and to examine the subsequent treatment for these patients.MethodsThe participants were selected from among patients who had a glucose level of ≥200 mg/dL and admitted to emergency department with symptoms of hyperglycaemia in the past one year. Age, gender, presence of chronic disease and the laboratory blood parameter results of the patients were recorded. We divided the patients into three groups as those who had never been admitted to clinics for treatment, those who were admitted and given treatment and not given treatment.ResultsAccording to their genders, 73 (52.1%) were male and 67 (47.9%) were female. It was determined that 86 of the 140 patients included in the study were admitted to clinics for control. It was determined that no medication was given to 50 of these patients, but treatment was initiated in 36. Patients with glucose level ≥300 mg/dL were found to be receiving more treatment significantly (P = .031). There were significantly fewer patients with renal disease in the group in which medication was initiated than in the group for which medication was not initiated.ConclusionsPatients with blood sugar ≥200 mg/dL in the emergency department should be sent to the DM outpatient clinic. It was observed that regular drug use after the diagnosis of DM had a protective effect on renal disease.© 2021 John Wiley & Sons Ltd.

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