Diabetes care for hospital patients in Australia needs repair

Jeffrey D Zajac and Sofianos Andrikopoulos
Med J Aust 2021; 215 (3): . || doi: 10.5694/mja2.51160
Published online: 2 August 2021

Annual audits of practice, national guidelines, specialist diabetes care teams, and increased patient participation are all needed

Diabetes inpatient care is broken and, given the disease burden, it requires urgent attention. The Queensland Impatient Diabetes Survey reported by Donovan and colleagues in this issue of the Journal1 found that care for hospital patients with diabetes is suboptimal. The authors report that rates of medication error and hospital‐acquired diabetic ketoacidosis are high and that peri‐operative planning is inadequate. This is a major problem, as many hospital inpatients have diabetes.

  • 1 Austin Hospital, Melbourne, VIC
  • 2 The University of Melbourne, Melbourne, VIC


Competing interests:

No relevant disclosures.

  • 1. Donovan P, Eccles‐Smith J, Hinton N, et al. The Queensland Inpatient Diabetes Survey (QuIDS) 2019: the bedside audit of practice. Med J Aust 2021; 215: 119–124.
  • 2. National Diabetes Services Scheme. Diabetes data snapshots. Updated Mar 2021. (viewed June 2021).
  • 3. Australian Institute of Health and Welfare. Diabetes. Updated June 2020. (viewed June 2021).
  • 4. Andrikopoulos S, Johnson G. The Australian response to the COVID‐19 pandemic and diabetes: lessons learned. Diabetes Res Clin Pract 2020; 165: 108246.
  • 5. Nanayakkara N, Nguyen H, Churilov L, et al. Inpatient HbA1c testing: a prospective observational study. BMJ Open Diabetes Res Care 2015; 3: e000113.
  • 6. Yong PH, Weinberg L, Torkamani N, et al. The presence of diabetes and higher HbA1c are independently associated with adverse outcomes after surgery. Diabetes Care 2018; 41: 1172–1179.
  • 7. Kyi M, Wang J, Fourlanos S. Increased hyperglycemia and hospital‐acquired infections following withdrawal of the RAPIDS early intervention model of diabetes care in medical and surgical inpatients. Diabetes Care 2021; 44: e25–e26.
  • 8. Australian Diabetes Society. Guidelines for routine glucose control in hospital. 2012. (viewed June 2021).
  • 9. Bach LA, Ekinci EI, Engler D, et al. The high burden of inpatient diabetes mellitus: the Melbourne Public Hospitals Diabetes Inpatient Audit. Med J Aust 2014; 201: 334–338.
  • 10. American Diabetes Association. Diabetes care in the hospital: Standards of Medical Care in Diabetes, 2019. Diabetes Care 2019; 42 (Suppl 1): S173–S181.
  • 11. Kyi M, Gorelik A, Reid J, et al. Clinical prediction tool to identify adults with type 2 diabetes at risk for persistent adverse glycemia in hospital. Can J Diabetes 2021; 45: 114–121.e3.


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