Abstract
The management of diabetes in long-term care (LTC) facilities requires facility staff
to perform most self-care activities on the behalf of the residents. A practical model
of care to improve diabetes management was developed and implemented at 6 LTC facilities
in the Northeast United States between 2009 and 2012. The components of the program
included (1) developing an individualized education curriculum and educating LTC interdisciplinary
staff; (2) educating patients and caregivers; and (3) developing a clinical care algorithm.
Over 500 staff members were educated and achieved competence. There were 1031 residents
screened for risk of hypo- or hyperglycemia on admission, and 245 residents (24%)
experienced hypoglycemia and 240 residents (23%) experienced hyperglycemia. Hypoglycemia
episodes resolved without recurrence in 73%-90% cases because of interventions initiated
by LTC staff. The implementation of a practical model of diabetes management in LTC
facilities can improve staff education and lead to improved diabetes management.
Keywords
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Article info
Publication history
Published online: August 02, 2020
Footnotes
The research did not receive any funding from agencies in the public, commercial, or not-for-profit sectors.
M.M. is a consultant for Sanofi and Lilly. All other authors declare no conflicts of interest.
Identification
Copyright
© 2020 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
