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Hospital admissions for hyperglycemic emergencies in young adults at an inner-city hospital

Diabetes Research and Clinical Practice Oct 03, 2019

Wolf RA, Haw JS, Paul S, et al. - In this retrospective analysis, researchers explored relationships of patient-level characteristics with hyperglycemic emergency hospitalization and identified variations based on diabetes type and glycemic control. The study sample consisted of 273 young adults YA admitted to an inner-city hospital with diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic nonketotic syndrome (HHS). Data reported that mean admission HbA1c was 12.4% (112 mmol/ml). It was noted that HbA1c was ≥ 9.0% for 90.5%. In an inner-city hospital, YA hospitalized for DKA/HHS tended to have severe uncontrolled diabetes. Many already experienced comorbidities and complications of diabetes, high use of acute care services, and low use of speciality services for diabetes. YA features varied by type of diabetes and HbA1c. Overall, insurance was lacking in a substantial percentage, potentially affecting patterns of use of healthcare and adherence to medication, and leading to DKA/HHS admissions.
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