Hypoglycemic treatment of diabetic patients in the Emergency Department / Tratamiento hipoglucemiante del paciente diabético en el Servicio de Urgencias Carmen Caballero
78 patients were included. At admission to the Emergency Department, treatment was modified for 91% of patients, and omitted for 9%. The most prescribed treatment was sliding scale insulin (68%). The treatments prescribed coincided in a 16.7% with the recommendations by the Spanish Society of Emergency Medicine. After intervention by the Pharmacist, the omission descended to 1.3%, and the adaptation to the recommendations increased to 20.5%. Comparing patients whose treatment coincided with the recommendations and those who did not, the clinical impact was respectively mean glycemia at 24 hours 138.3 ± 49.5 mg/dL versus 182.7 ± 97.1 mg/dL (p = 0.688); mean rescues with insulin lispro ± 1.6 versus 1.5 ± 1.8 (p = 0.293); mean units of insulin lispro administered 4.6 ± 12.7 IU versus 6.6 ± 11.3 IU (p = 0.155).