Greer Christopher L, Neumiller Joshua J
St. Luke's Rehabilitation Medical Center, Spokane, WA.
College of Pharmacy and Pharmaceutical Sciences, Washington State University, Spokane, WA.
Diabetes Spectr. 2024 Aug 15;37(3):227-233. doi: 10.2337/dsi24-0012. eCollection 2024 Summer.
People with diabetes receiving inpatient rehabilitation have multiple unique care needs. Although the condition, event, or disability resulting in admission to an inpatient rehabilitation facility (IRF) may not have a causal relationship with chronic conditions such as diabetes, the condition precipitating referral to IRF care may increase a person's risk for worsening cardiometabolic disease. Furthermore, diabetes management in the IRF setting may be complicated by stress hyperglycemia from illness and/or drug-induced hyperglycemia from the use of glucocorticoids or other offending medications. The availability of a multidisciplinary team of clinicians and therapists in the IRF setting holds great opportunity for development of robust diabetes care and education programs to optimize therapy, teach or reinforce diabetes self-management survival skills, and facilitate safe transitions of care to individuals' next setting of care.
接受住院康复治疗的糖尿病患者有多种独特的护理需求。尽管导致入住住院康复机构(IRF)的病情、事件或残疾可能与糖尿病等慢性病没有因果关系,但促使患者转诊至IRF护理的病情可能会增加患者发生心脏代谢疾病恶化的风险。此外,在IRF环境中,疾病引起的应激性高血糖和/或使用糖皮质激素或其他有害药物导致的药物性高血糖可能会使糖尿病管理变得复杂。IRF环境中有多学科的临床医生和治疗师团队,这为制定强有力的糖尿病护理和教育计划提供了巨大机遇,以优化治疗、教授或强化糖尿病自我管理生存技能,并促进患者安全过渡到下一个护理环境。