Gardiner Fergus William, Nwose Ezekiel Uba, Bwititi Phillip Taderera, Crockett Judith, Wang Lexin
School of Community Health, Charles Sturt University, Australia.
Calvary Hospital, ACT, Australia.
Ann Med Surg (Lond). 2017 Dec 27;26:15-18. doi: 10.1016/j.amsu.2017.12.010. eCollection 2018 Feb.
Diabetes education is believed to bring about sustained benefits in diabetes mellitus (DM) patient outcomes. These benefits have not been widely studied in an inpatient hospital setting, and as such the aim was to determine whether a hospital diabetes in-service, and specifically diabetes education, results in reduced blood glucose and HbA1c levels after hospital discharge.
A cohort review was performed at a large teaching hospital, in Canberra, Australia. Sixty seven patients comprising 35 males and 32 females who were referred upon discharge to the Diabetes Services as having a history of uncontrolled DM from February 1st 2015 until January 31st 2016 were evaluated. The retrospective discharge blood glucose level (BGL) was compared to prospective BGL 3 months after hospital discharge. HbA1c was prospectively taken before and 3 months after Diabetes Service education. A between subjects -Test was used to compare patients' glucose and HbA1c averages.
The average discharge BGL result was 13.3 mmol/L, compared to the post-discharge result of 11.2 mmol/L, indicating a significant decrease ( = < 0.01). The average pre-HbA1c result was 10.45%, and decreased to the post-HbA1c result of 8.96%, which was significant ( = <0.05).
This study is the first to measure the direct glucose adherence benefits associated DM education within Australia and provides evidence on the effectiveness of a Diabetes Service in reducing patient BGLs. Utilisation of Diabetes Services to control glycaemia encourages ongoing efforts and translates to reduced micro and macro cardiovascular risk factors associated with DM.
糖尿病教育被认为能给糖尿病（DM）患者的治疗结果带来持续益处。这些益处在住院医院环境中尚未得到广泛研究，因此目的是确定医院糖尿病在职培训，特别是糖尿病教育，是否能在出院后降低血糖和糖化血红蛋白（HbA1c）水平。
在澳大利亚堪培拉的一家大型教学医院进行了一项队列回顾研究。对2015年2月1日至2016年1月31日期间出院后因有未控制的糖尿病病史而被转诊至糖尿病服务部门的67名患者进行了评估，其中包括35名男性和32名女性。将出院时的回顾性血糖水平（BGL）与出院后3个月的前瞻性BGL进行比较。在糖尿病服务教育前和教育后3个月前瞻性采集HbA1c。采用受试者间检验来比较患者的血糖和HbA1c平均值。
出院时BGL平均结果为13.3毫摩尔/升，而出院后结果为11.2毫摩尔/升，表明有显著下降（P = <0.01）。HbA1c平均术前结果为10.45%，降至术后HbA1c结果的8.96%，这具有显著性（P = <0.05）。
本研究是澳大利亚首个衡量与糖尿病教育相关的直接血糖依从性益处的研究，并为糖尿病服务在降低患者血糖水平方面的有效性提供了证据。利用糖尿病服务来控制血糖鼓励持续努力，并转化为降低与糖尿病相关的微血管和大血管危险因素。
