scholarly journals Inpatient to Outpatient Transfer of Care in Urban Patients With Diabetes

2004 ◽  
Vol 164 (4) ◽  
pp. 447 ◽  
Author(s):  
Kate Wheeler ◽  
Rochanda Crawford ◽  
Debra McAdams ◽  
Sonia Benel ◽  
Virginia G. Dunbar ◽  
...  
Keyword(s):  
Transfer Of Care ◽  
Patients With Diabetes

scholarly journals THE GUIDED TRANSFER OF CARE IMPROVES ADULT CLINIC SHOW RATE

2020 ◽  
Vol 26 (5) ◽  
pp. 508-513
Author(s):  
Rayhan A. Lal ◽  
David M. Maahs ◽  
Chrysoula Dosiou ◽  
Tandy Aye ◽  
Marina Basina
Keyword(s):  
Primary Outcome ◽  
Hemoglobin A1c ◽  
Evidence Based ◽  
Pediatric Endocrinology ◽  
Transfer Of Care ◽  
Pediatric Clinic ◽  
Pediatric Endocrinologist ◽  
Patients With Diabetes ◽  
Transfer Group ◽  
The U.S

Objective: Every year, 500,000 youths in the U.S. with chronic disease turn 18 years of age and eventually require transfer to adult subspecialty care. Evidence-based interventions on the organization of transfer of care are limited, although engagement and retention in adult clinic are considered appropriate outcomes. Sustained continuity of care improves patient satisfaction and reduces hospitalization. Methods: We conducted a prospective, nonrandomized cohort study of patients with pediatric endocrine conditions, age 16 to 26 years, enrolled upon referral to the adult endocrine clinic of a physician trained in both adult and pediatric endocrinology (Med+Peds endocrinologist). Patients differed based on whether their referral originated from another pediatric endocrinologist (traditional transfer) or if the Med+Peds endocrinologist previously saw the patient in his pediatric endocrine clinic (guided transfer). Rather than relying on arbitrary age criteria, guided transfer to adult clinic occurred when physician and patient considered it appropriate. The primary outcome was show rate at the first and second adult visits. Results: Of 36 patients, 21 were referred by another pediatric endocrinologist and 15 underwent guided transfer. For traditional transfer, show rate to the first and second visit was 38%, compared to 100% in the guided transfer group ( P = .0001). Subgroup analysis of 27 patients with diabetes revealed that both groups had similar initial hemoglobin A1c ( P = .38), and the guided transfer group maintained hemoglobin A1c. Conclusion: Most traditional transfers were unsuccessful. Guided transfer was significantly more effective, with every patient successfully transferring, and could be implemented with adult endocrinologists willing to see patients in the pediatric clinic. Abbreviations: DKA = diabetic ketoacidosis; HbA1c = hemoglobin A1c; Med+Peds = Internal Medicine and Pediatrics

Intramuscular Nerve and Neuromuscular Junction Alteration In Extraocular Muscles of Diabetic Mice

1985 ◽  
Vol 43 ◽  
pp. 682-683
Author(s):  
Bruce R. Pachter
Keyword(s):  
Diabetes Mellitus ◽  
Peripheral Nerves ◽  
Sudden Onset ◽  
Extraocular Muscles ◽  
Diabetic Patients ◽  
Oculomotor Palsy ◽  
Third Nerve Palsy ◽  
Patients With Diabetes ◽  
Intramuscular Nerve ◽  
Oculomotor Nerves

Diabetes mellitus is one of the commonest causes of neuropathy. Diabetic neuropathy is a heterogeneous group of neuropathic disorders to which patients with diabetes mellitus are susceptible; more than one kind of neuropathy can frequently occur in the same individual. Abnormalities are also known to occur in nearly every anatomic subdivision of the eye in diabetic patients. Oculomotor palsy appears to be common in diabetes mellitus for their occurrence in isolation to suggest diabetes. Nerves to the external ocular muscles are most commonly affected, particularly the oculomotor or third cranial nerve. The third nerve palsy of diabetes is characteristic, being of sudden onset, accompanied by orbital and retro-orbital pain, often associated with complete involvement of the external ocular muscles innervated by the nerve. While the human and experimental animal literature is replete with studies on the peripheral nerves in diabetes mellitus, there is but a paucity of reported studies dealing with the oculomotor nerves and their associated extraocular muscles (EOMs).

Abstract #1103: Comprehensive Diabetes Care Through Continuous Communication Channels to Patients with Diabetes

2017 ◽  
Vol 23 ◽  
pp. 290
Author(s):  
Vamsi Kolukula ◽  
Jayashree Gopal ◽  
Shantharam Duvuru ◽  
Kalpana Dash ◽  
Sanjiv Shah ◽  
...  
Keyword(s):  
Diabetes Care ◽  
Communication Channels ◽  
Patients With Diabetes

Abstract #789: Type 2 Diabetes-Related Intermediate Phenotypic Traits in North Indian Patients with Diabetes

2005 ◽  
Vol 11 ◽  
pp. 16
Author(s):  
Sandeep Kumar Mathur ◽  
Piyush Chandra ◽  
Sandhya Mishra ◽  
Piyush Ajmera ◽  
Praveen Sharma
Keyword(s):  
Type 2 Diabetes ◽  
Phenotypic Traits ◽  
Indian Patients ◽  
Patients With Diabetes
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