Diabetes is one of the conditions that are most present in internal medicine services, as it is present in almost half of its admitted.
Therefore, the Spanish Society of Internal Medicine (SEMI) has developed several protocols and management algorithms for these patients, although there was a moment of the patient in which there were still certain uncertainties.
"After discharge, patients can have transitory conditions," explains Javier Carrasco, coordinator of the Diabetes and Obesity Working Group of the SEMI.
A period of "two or three weeks" after leaving the hospital in which it is important to "adapt, intensify or discredit" the treatment before establishing a definitive therapy.
The SEMI has prepared some recommendations for these transitory conditions consisting of two documents.The first, a list of checks that should not be forgotten before discharge;the second, some pharmacological recommendations.
The latter have three main aspects, Carrasco explains: "First, identify the patient who will need insulin, even if it is transitory";Second, "identify the patient who can benefit from a drug beyond glycemia control, especially in those with high cardiovascular risk";third, identify "that patient overflows and needs discomfort."
diabetes and covid-19
For the coordinator of the Obesity Group of the SEMI, this document "comes to occupy the small hole between the final treatment and the high situation", because sometimes it can be the same, but on other occasions transient treatments are needed.
The advance in the pharmacological treatment of diabetes has also made this new consensus, which was already at the beginning of the last decade."One of the causes of hospital re -entry due to pharmacological problems is that the treatment of diabetes is not correct," he explains, "and that patients can do hypo or hyperglycemia if the needs are not adapted well at the discharge."
Although this algorithm is designed for the non -Covid patient, Carrasco explains that it is already working to standardize the care of diabetes and hyperglycemia in Covid patients, as they are two of the main risk factors for a serious development of the infection.
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