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Practical Recommendations for Transitioning Patients with Type 2 Diabetes from Hospital to Home

  • Hospital Management of Diabetes (A Wallia and JJ Seley, Section Editors)
  • Published:
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Abstract

Purpose of Review

The purpose of this review is to provide practical evidence-based recommendations for transitioning hospitalized patients with type 2 diabetes (T2DM) to home.

Recent Findings

Hospitalized patients who have newly diagnosed or poorly controlled T2DM require initiation or intensification of their outpatient diabetes regimen. Potential barriers to medication access and continuity of care should be identified early in the hospitalization. Throughout hospitalization, patients should receive diabetes education focused on basic survival skills and tailored to learning needs. Patients should leave the hospital with personalized discharge instructions that include a list of all medications and follow-up appointments with both the outpatient diabetes provider and a diabetes educator whenever possible.

Summary

An approach to transitioning patients with T2DM from hospital to home that focuses on optimizing the patient’s discharge diabetes regimen, anticipating patients’ needs during the immediate post-discharge period, providing survival skills education, and ensuring continuation of diabetes care and education following hospital discharge has the potential to improve glycemic control and reduce emergency department visits and hospital readmissions.

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Acknowledgments

The author gratefully acknowledges the helpful critical comments and expert suggestions of Mary Korytkowski, Jodie Reider, Jane Jeffrie Seley, and Linda Siminerio during the preparation of this manuscript.

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  1. Department of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy & University of Pittsburgh Medical Center (UPMC), MUH NE Suite 628, 200 Lothrop Street, Pittsburgh, PA, 15213, USA

    Amy C. Donihi

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Donihi, A.C. Practical Recommendations for Transitioning Patients with Type 2 Diabetes from Hospital to Home. Curr Diab Rep 17, 52 (2017). https://doi.org/10.1007/s11892-017-0876-1

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