Longitudinal Digital Glucometric Benchmarking to Evaluate the Impact of Institutional Diabetes Care Initiatives in Adults With Diabetes Mellitus Over the 2016-2020 Period
Authors' conclusion
Comprehensive digital-based glucometric benchmarking confirmed institutional quality improvement changes were followed by reduced hyperglycemia and hypoglycemia in a five-year comparison. Longitudinal glucometric benchmarking enables evaluation and validation of changes to institutional diabetes care management practices.
Study context
- Population
- Inpatients with diabetes or newly detected hyperglycemia admitted to eight medical and surgical wards at the Royal Melbourne Hospitaladmissions (588 unique individuals)
- Participants
- 620 admissions
- Exposure
- 2019-2020 cohort vs 2016 cohort from the same institution
- Outcome
- Measures of glycemic control by mean and threshold glucometric measures and comparison with published glucometric benchmarks
Methodological detailssix-month, longitudinal intra-institution benchmarking, comparison with published glucometric benchmarks, 15 164 blood glucose (BG) results over 4023 admission-days from networked BG meters
- Six-month
- Longitudinal intra-institution benchmarking
- Comparison with published glucometric benchmarks
- 15 164 BG results over 4023 admission-days from networked BG meters
Main finding
As reported in the abstract
Mean patient-day mean glucose (PDMG)
P < 0.001
- Reduced mean and threshold measures of hyperglycemia vs 2016 cohort
- P < 0.001 for all
Observational data: associations, not effects.
Further findings
BG testing per patient-day · increased with 2019-2020
P < 0.001
Comparison with US published benchmarks (2009-2014)
- Lower incidence of mean patient-day mean glucose (PDMG) >13.9 or >16.7 mmol/L and reduced hypoglycemia (<3.9, <2.8, and <2.2 mmol/L) vs US benchmarks
Original publication
Longitudinal Digital Glucometric Benchmarking to Evaluate the Impact of Institutional Diabetes Care Initiatives in Adults With Diabetes Mellitus Over the 2016-2020 Period. J Diabetes Sci Technol. Published 22 November 2022. doi:10.
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