Early Electronic Specialist-led Diabetes Care Improves Postdischarge Glycemia: The STOIC-D Surgery Follow-up Cohort
Authors' conclusion
Treatment intensification and posthospitalization HbA1c improved following intervention with an early, electronic specialist-led consultation in hospital.
Study context
- Population
- STOIC-D trial surgical inpatients with admission HbA1c ≥ 7% and alive 1 year after hospitalization
- Participants
- 360 inpatients
- Comparison
- Early electronic specialist-led inpatient diabetes care vs control
- Primary endpoint
- Change in HbA1c from preadmission to first available HbA1c after discharge
- Follow-up
- Between 3 and 15 months following discharge
Methodological detailsfollow-up cohort, subgroup
- Follow-up cohort
- Subgroup
Primary result
As reported in the abstract
HbA1c reduction following hospitalization vs preadmission · 3–15 months after discharge
Intervention
0.4
%
Control
−0.04
%
P = 0.02
Further findings
| Outcome | Intervention | Control | aOR (95% CI) | P value | |
|---|---|---|---|---|---|
| Clinically significant HbA1c reduction (≥0.5%) | 45% | 31% | 1.8 (1.1–2.9) | P = 0.01 | |
| Treatment intensification in hospital | 36% | 19% | 2.2 (1.3–3.6) | P = 0.002 | |
| Treatment intensification, subgroup admission HbA1c 7% to 8.5%, age <75 years | 4.0 (1.6–11.1) | ||||
| 0.050.21520Adjusted odds ratio (log scale) |
Change in posthospitalization HbA1c (multivariable linear regression)
- Inclusion in the intervention arm correlated with proportional reduction in posthospitalization HbA1c
- Adjusted
Original publication
Early Electronic Specialist-led Diabetes Care Improves Postdischarge Glycemia: The STOIC-D Surgery Follow-up Cohort. J Clin Endocrinol Metab. Published 1 August 2025. doi:10.
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