About Wessex AHSN
Centre for Implementation Science
Frequently asked questions
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Around 50% of people with diabetes who are admitted to hospital require Insulin. We are working to ensure that patients who wish to manage their diabetes independently while they are in hospital are able to do so.Many people with diabetes are treated with insulin, which ensures their blood glucose does not become too high. Insulin has to be given in association with meals and exercise, and patients are very good at managing this. However, when they are admitted to hospital, they are often not allowed to keep or administer their insulin because of concerns about safety. This often leads to missed or delayed doses of insulin which is needed at mealtimes and does not always fit in with hospital routines.
There is also evidence that patients with diabetes are more likely to have worse control of their disease when they are in hospital than at home. In Wessex, around 17% experienced a medication error in hospital. Poor diabetes control or an insulin error can mean up to 3 more days in hospital than would be expected.
Increasing the number of people who are offered and supported to administer their own insulin while in hospital is a complex change to make. To support trusts through the steps we have been working with Lilly UK to develop a guide to implementation which Salisbury, Hampshire Hospitals and University Hospital Southampton are now piloting with us. the guide is available here and we would welcome any feedback via firstname.lastname@example.org
Self Administration in Hospital; A Guide to Implementation
Self care Checklist
Leicester SAI Daily Assessment Tool
Self Administration of Insulin Algorythm
Poster: Nurses responsibilities
Poster:Insulin and Meals