• Shi-Dou Lin, Shih-Te Tu, Mei-Jung Lin, Ya-Leng Jhang, and Ming-Chia Hsieh.
• a 1 Division of Endocrinology and Metabolism, Department of Internal Medicine, Changhua Christian Hospital , Changhua, Taiwan.
• Postgrad Med. 2015 Jan 1; 127 (8): 796-800.

ObjectiveThe clinical efficacy of applying a western model for managing hyperglycemia in hospitalized patients in Asia has not been studied.MethodsFor this observational case-control study, we divided six medical wards into two groups, an intervention group and a control group. The intervention group, consisting three medical wards on the same floor, received care under a computer-assisted consulting model in which special care was automatically indicated for patients who had two successive high glucose measurements in 1 day. The control group, consisting of another three medical wards distributed on different floors, received regular care. Outcome measures were baseline and post-intervention patient-day weighted mean glucose, percentage of patient-day weighted glucose ≥180 mg/dL, proportion of glucose level 100-180 mg/dL, and prevalence of inpatient hyperglycemia (>180 mg/dL) and hypoglycemia (individual measurement <70 mg/dL and patient-day with any measurement <70 mg/dL).ResultsAt baseline, the patient-day weighted mean glucose level was 181.6 mg/dL. All parameters were comparable between the intervention and control groups with the exception of prevalence of hypoglycemia, which was found to be higher in the intervention group. After intervention, patient-day weighted mean glucose levels for intervention and control groups were 169.9 mg/dL and 176.7 mg/dL, respectively (p < 0.001). The intervention group had a reduction in hypoglycemia and the control group an increase.ConclusionThis computer-assisted consulting model was found to be potentially very workable for the management of inpatient hyperglycemia in hospitals with high patient volumes in Asia.

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