Effect of online diabetes training for hospitalists on inpatient glycaemia

R. Tamler, A. S. Dunn, D. E. Green, M. Skamagas, T. L. Breen, H. C. Looker, D. LeRoith

    Research output: Contribution to journalArticle

    7 Citations (Scopus)

    Abstract

    Aim An online diabetes course for medical residents led to lower patient blood glucose, but also increased hypoglycaemia despite improved trainee confidence and knowledge. Based on these findings, we determined whether an optimized educational intervention delivered to hospitalists (corresponding to an Acute Physician or Specialist in Acute Hospital Medicine in the UK) improved inpatient glycaemia without concomitant hypoglycaemia.

    Methods All 22 hospitalists at an academic medical centre were asked to participate in an online curriculum on the management of inpatient dysglycaemia in autumn 2009 and a refresher course in spring 2010.

    Results All hospitalists completed the initial intervention. Median event blood glucose decreased from 9.3 mmol/l (168 mg/dl) pre-intervention to 7.8 mmol/l (141 mg/dl) post-intervention and 8.5 mmol/l (153 mg/dl) post-refresher (P <0.001 for both). Hospitalizations categorized as hyperglycaemia decreased from 83.3 to 55.6% (P = 0.014), with a trend towards euglycaemia (10-28.9%, P = 0.08) and no change in hypoglycaemia. Hyperglycaemic patient-days decreased from 72.0 to 57.3% (P = 0.004), with greater target glycaemia (27.3-39.4%, P = 0.016) and no change in hypoglycaemia.

    Conclusions An optimized online educational intervention delivered to hospitalists yielded significant improvements in inpatient glycaemia without increased hypoglycaemia.

    Original languageEnglish
    Pages (from-to)994-998
    Number of pages5
    JournalDiabetic Medicine
    Volume30
    Issue number8
    DOIs
    Publication statusPublished - 2013

    Keywords

    • OUTCOMES
    • MANAGEMENT
    • HYPERGLYCEMIA
    • SLIDING-SCALE INSULIN
    • PROGRAM
    • MEDICAL RESIDENTS
    • GLUCOSE
    • PHYSICIANS
    • CONFIDENCE
    • KNOWLEDGE

    Cite this

    Tamler, R., Dunn, A. S., Green, D. E., Skamagas, M., Breen, T. L., Looker, H. C., & LeRoith, D. (2013). Effect of online diabetes training for hospitalists on inpatient glycaemia. Diabetic Medicine, 30(8), 994-998. https://doi.org/10.1111/dme.12151
    Tamler, R. ; Dunn, A. S. ; Green, D. E. ; Skamagas, M. ; Breen, T. L. ; Looker, H. C. ; LeRoith, D. / Effect of online diabetes training for hospitalists on inpatient glycaemia. In: Diabetic Medicine. 2013 ; Vol. 30, No. 8. pp. 994-998.
    @article{6e7fdf1308f64c75b5176d720a7cf882,
    title = "Effect of online diabetes training for hospitalists on inpatient glycaemia",
    abstract = "Aim An online diabetes course for medical residents led to lower patient blood glucose, but also increased hypoglycaemia despite improved trainee confidence and knowledge. Based on these findings, we determined whether an optimized educational intervention delivered to hospitalists (corresponding to an Acute Physician or Specialist in Acute Hospital Medicine in the UK) improved inpatient glycaemia without concomitant hypoglycaemia.Methods All 22 hospitalists at an academic medical centre were asked to participate in an online curriculum on the management of inpatient dysglycaemia in autumn 2009 and a refresher course in spring 2010.Results All hospitalists completed the initial intervention. Median event blood glucose decreased from 9.3 mmol/l (168 mg/dl) pre-intervention to 7.8 mmol/l (141 mg/dl) post-intervention and 8.5 mmol/l (153 mg/dl) post-refresher (P <0.001 for both). Hospitalizations categorized as hyperglycaemia decreased from 83.3 to 55.6{\%} (P = 0.014), with a trend towards euglycaemia (10-28.9{\%}, P = 0.08) and no change in hypoglycaemia. Hyperglycaemic patient-days decreased from 72.0 to 57.3{\%} (P = 0.004), with greater target glycaemia (27.3-39.4{\%}, P = 0.016) and no change in hypoglycaemia.Conclusions An optimized online educational intervention delivered to hospitalists yielded significant improvements in inpatient glycaemia without increased hypoglycaemia.",
    keywords = "OUTCOMES, MANAGEMENT, HYPERGLYCEMIA, SLIDING-SCALE INSULIN, PROGRAM, MEDICAL RESIDENTS, GLUCOSE, PHYSICIANS, CONFIDENCE, KNOWLEDGE",
    author = "R. Tamler and Dunn, {A. S.} and Green, {D. E.} and M. Skamagas and Breen, {T. L.} and Looker, {H. C.} and D. LeRoith",
    year = "2013",
    doi = "10.1111/dme.12151",
    language = "English",
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    Tamler, R, Dunn, AS, Green, DE, Skamagas, M, Breen, TL, Looker, HC & LeRoith, D 2013, 'Effect of online diabetes training for hospitalists on inpatient glycaemia', Diabetic Medicine, vol. 30, no. 8, pp. 994-998. https://doi.org/10.1111/dme.12151

    Effect of online diabetes training for hospitalists on inpatient glycaemia. / Tamler, R.; Dunn, A. S.; Green, D. E.; Skamagas, M.; Breen, T. L.; Looker, H. C.; LeRoith, D.

    In: Diabetic Medicine, Vol. 30, No. 8, 2013, p. 994-998.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Effect of online diabetes training for hospitalists on inpatient glycaemia

    AU - Tamler, R.

    AU - Dunn, A. S.

    AU - Green, D. E.

    AU - Skamagas, M.

    AU - Breen, T. L.

    AU - Looker, H. C.

    AU - LeRoith, D.

    PY - 2013

    Y1 - 2013

    N2 - Aim An online diabetes course for medical residents led to lower patient blood glucose, but also increased hypoglycaemia despite improved trainee confidence and knowledge. Based on these findings, we determined whether an optimized educational intervention delivered to hospitalists (corresponding to an Acute Physician or Specialist in Acute Hospital Medicine in the UK) improved inpatient glycaemia without concomitant hypoglycaemia.Methods All 22 hospitalists at an academic medical centre were asked to participate in an online curriculum on the management of inpatient dysglycaemia in autumn 2009 and a refresher course in spring 2010.Results All hospitalists completed the initial intervention. Median event blood glucose decreased from 9.3 mmol/l (168 mg/dl) pre-intervention to 7.8 mmol/l (141 mg/dl) post-intervention and 8.5 mmol/l (153 mg/dl) post-refresher (P <0.001 for both). Hospitalizations categorized as hyperglycaemia decreased from 83.3 to 55.6% (P = 0.014), with a trend towards euglycaemia (10-28.9%, P = 0.08) and no change in hypoglycaemia. Hyperglycaemic patient-days decreased from 72.0 to 57.3% (P = 0.004), with greater target glycaemia (27.3-39.4%, P = 0.016) and no change in hypoglycaemia.Conclusions An optimized online educational intervention delivered to hospitalists yielded significant improvements in inpatient glycaemia without increased hypoglycaemia.

    AB - Aim An online diabetes course for medical residents led to lower patient blood glucose, but also increased hypoglycaemia despite improved trainee confidence and knowledge. Based on these findings, we determined whether an optimized educational intervention delivered to hospitalists (corresponding to an Acute Physician or Specialist in Acute Hospital Medicine in the UK) improved inpatient glycaemia without concomitant hypoglycaemia.Methods All 22 hospitalists at an academic medical centre were asked to participate in an online curriculum on the management of inpatient dysglycaemia in autumn 2009 and a refresher course in spring 2010.Results All hospitalists completed the initial intervention. Median event blood glucose decreased from 9.3 mmol/l (168 mg/dl) pre-intervention to 7.8 mmol/l (141 mg/dl) post-intervention and 8.5 mmol/l (153 mg/dl) post-refresher (P <0.001 for both). Hospitalizations categorized as hyperglycaemia decreased from 83.3 to 55.6% (P = 0.014), with a trend towards euglycaemia (10-28.9%, P = 0.08) and no change in hypoglycaemia. Hyperglycaemic patient-days decreased from 72.0 to 57.3% (P = 0.004), with greater target glycaemia (27.3-39.4%, P = 0.016) and no change in hypoglycaemia.Conclusions An optimized online educational intervention delivered to hospitalists yielded significant improvements in inpatient glycaemia without increased hypoglycaemia.

    KW - OUTCOMES

    KW - MANAGEMENT

    KW - HYPERGLYCEMIA

    KW - SLIDING-SCALE INSULIN

    KW - PROGRAM

    KW - MEDICAL RESIDENTS

    KW - GLUCOSE

    KW - PHYSICIANS

    KW - CONFIDENCE

    KW - KNOWLEDGE

    U2 - 10.1111/dme.12151

    DO - 10.1111/dme.12151

    M3 - Article

    VL - 30

    SP - 994

    EP - 998

    JO - Diabetic Medicine

    JF - Diabetic Medicine

    SN - 0742-3071

    IS - 8

    ER -

    Tamler R, Dunn AS, Green DE, Skamagas M, Breen TL, Looker HC et al. Effect of online diabetes training for hospitalists on inpatient glycaemia. Diabetic Medicine. 2013;30(8):994-998. https://doi.org/10.1111/dme.12151