Glucometrics of a tertiary hospital in Singapore between September to December 2012.

• Main Author: Tan, Germaine Zhe-Min.
• Other Authors: Kao Shih Ling
• Format: Final Year Project
• Language: English
• Published: 2013
• Subjects: DRNTU::Science::Biological sciences
• Online Access: http://hdl.handle.net/10356/54800
• Institution: Nanyang Technological University

Background: Diabetes Mellitus (DM) is one of the most prevalent chronic diseases in Singapore. It is not known what proportion of inpatients experience either hypoglycemia or hyperglycemia during their hospitalization stay. The quality of inpatient DM management can be measured using glucometrics. The objective of this project was to measure the glucometrics of the National University Hospital over a 3-month period. Methods: Capillary blood glucose (BG) levels measured in the general wards were analyzed using 3 different BG analysis models: population, patient-day and patient-admission. To identify areas for improvement, we further analyzed recurrent hypoglycemia and excessive exposure to hyperglycemia. We also analyzed the J index as a measure of glucose variability. Results: Mean and median BG levels were similar for all 3 models while hypoglycemic and hyperglycemic event rates varied. Hypoglycemia occurred in 4.2% of patient-days and recurrent hypoglycemia occurred in 52.5% of patient-admissions. 26% of patients have ≥50% of readings >10mmol/L. J index value was 49.4, falling in the range of lack of glucose control. Conclusion: We conclude that the patient-day model had the most clinical relevance. This demonstrated that recurrent hypoglycemia and exposure to hyperglycemia are areas that require improvement.