The financial impact of an inpatient diabetes management service
Open accessAbstract
Context Diabetes is a leading metabolic disorder with a substantial cost burden, especially in inpatient settings. The complexity of inpatient glycemic management has led to the emergence of inpatient diabetes management service (IDMS), a multidisciplinary team approach to glycemic management.Objective To review recent literature on the financial and clinical impact of IDMS in hospital settings.Methods We searched PubMed using a combination of controlled vocabulary and keyword terms to describe the concept of IDMS and combined the search terms with a comparative effectiveness filter for costs and cost analysis developed by the National Library of Medicine.Findings In addition to several improved clinical endpoints such as glycemic management outcomes, IDMS implementation is associated with hospital cost savings through decreased length of stay, preventing hospital readmissions, hypoglycemia reduction, and optimizing resource allocation. There are other downstream potential cost savings in long-term patient health outcomes and avoidance of litigation related to suboptimal glycemic management.Conclusion IDMS may play an important role in helping both academic and community hospitals to improve the quality of diabetes care and reduce costs. Clinicians and policymakers can utilize existing literature to build a compelling business case for IDMS to hospital administrations and state legislatures in the era of value-based healthcare.
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Care provided by appropriately trained specialists or specialty teams may reduce the length of stay and improve glycemic and other clinical outcomes.
“Care provided by appropriately trained specialists or specialty teams may reduce the length of stay and improve glycemic and other clinical outcomes (15)(16)(17).”
From 16. Diabetes Care in the Hospital: Standards of Care in Diabetes—2026 (2026) · cites this paper as [17]
Discharge algorithms based on A1C levels give guidance for hospitalized patients at discharge.
“Discharge algorithms based on A1C levels provide discharge guidance for hospitalized persons.1275”
From American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update. (2022) · cites this paper as [1275]
The Introduction discusses optimizing diabetes medication for the transition to outpatient care, but does not describe an A1C-based discharge algorithm. Searches for A1C, HbA1c, and discharge algorithms found no passage in our copy that addresses the claimed guidance. (LLM, conf=0.76)
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- Authors
- Haque, W. Z., Demidowich, A. P., Sidhaye, A., Golden, S. H., & Zilbermint, M.
- Affiliations
- Johns Hopkins University (US)
- Corresponding author
- Zilbermint, Mihail
- Venue
- Current Diabetes Reports
- Published
- 2021-01-15
- Volume
- 21
- Issue
- 2
- Pages
- 5-5
- ISSN
- 1534-4827 (ISSN-L)
- 1539-0829
- PMC
- PMC7810108
- OpenAlex
- W3121643145
- Cited by
- 48
- References
- 54
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 10 · 2023: 10 · 2022: 10 · 2021: 5
- FWCI
- 1.34
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Current Diabetes Reports (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Johns Hopkins University
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Keywords
- hospital costs, glycemic control, length of hospital stay, hospital readmission, hypoglycemia, multidisciplinary team, value-based care, cost reduction, diabetes care quality
- MeSH terms
- Delivery of Health Care, Diabetes Mellitus, Humans, Inpatients, Patient Readmission, United States
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