Patient Self-Management of Diabetes Care in the Inpatient Setting: Con
Open accessAbstract
Self-management of diabetes by inpatients can be problematic. People with type 1 diabetes often prefer to self-manage their diabetes in the inpatient setting. We report the case of a patient admitted to the surgical service who was self-administering his home insulin, often without telling his nurse or physician. He was aiming for tight glycemic control, which resulted in life-threatening hypoglycemia. While patients can often self-manage their diabetes in the outpatient setting, inpatient management of diabetes is very different. Patients may not be familiar with common scenarios requiring adjustments of insulin therapy. Therefore, we recommend against self-management of diabetes in the hospital. However, the patients should be involved in discussions about management of their diabetes in the hospital to allay their concerns about changes made to their insulin regimens. An example of successful cooperative management is with use of protocols that allow continued use of insulin pumps in the hospital.
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Diabetes self-management in the hospital may be appropriate for select individuals who wish to continue to perform self-care while acutely ill.
“Diabetes self-management in the hospital may be appropriate for select individuals who wish to continue to perform self-care while acutely ill (117-119).”
From 16. Diabetes Care in the Hospital: Standards of Care in Diabetes—2026 (2026) · cites this paper as [118]
The Abstract recommends against diabetes self-management in the hospital, and the Conclusions say health care providers should manage inpatient diabetes because self-management can cause severe hypoglycemia. The paper supports involving patients in decisions and allows continued insulin-pump use under protocols as a special circumstance, but it does not endorse self-management for select patients who wish to continue self-care while acutely ill. (LLM, conf=0.88)
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Research works printed but not linked: 11
- [1]1. Germain CP, Nemchik RM. Diabetes self-management and hospitalization. Image J Nurs Sch . 1988;20(2):74-78.
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16. Diabetes Care in the Hospital: Standards of Care in Diabetes—2026
American Diabetes Association Professional Practice Committee for Diabetes*, Bajaj, M., McCoy, R. G., Balapattabi, K., Bannuru, R. R., Bellini, N. J., Bennett, A. K., Beverly, E. A., Briggs Early, K., ChallaSivaKanaka, S., et al. (2026) · Diabetes Care · doi:10.2337/dc26-s016 · Cited by 80 · see citing works
- Authors
- Shah, A. D., & Rushakoff, R. J.
- Affiliations
- University of California, San Francisco (US)
- Corresponding author
- Rushakoff, Robert J.
- Venue
- Journal of Diabetes Science and Technology
- Publisher
- SAGE Publications
- Published
- 2015-05-18
- Volume
- 9
- Issue
- 5
- Pages
- 1155-1157
- ISSN
- 1932-2968 (ISSN-L)
- PMC
- PMC4667332
- OpenAlex
- W2181094429
- Cited by
- 20
- References
- 0
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 2 · 2019: 4 · 2018: 3 · 2017: 2
- FWCI
- 1.45
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Diabetes Science and Technology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (T32DK007418)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Keywords
- diabetes self-management, type 1 diabetes, inpatient diabetes management, hypoglycemia, insulin therapy, tight glycemic control, insulin pump, patient involvement, surgical patients
- MeSH terms
- Blood Glucose, Diabetes Mellitus, Type 1, Humans, Hypoglycemic Agents, Inpatients, Insulin, Male, Middle Aged, Self Care
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