Having diabetes means that there is too much sugar (glucose) in your blood. When you eat food, your body breaks down much of the food into glucose. Your blood carries the glucose to the cells of your body. An organ in your upper belly, called the pancreas, makes and releases a hormone called insulin when it detects glucose. Your body uses insulin to help move the glucose from the bloodstream into the cells for energy. When your body does not make insulin (type 1 diabetes), or has trouble using insulin (type 2 diabetes), glucose cannot get into your cells. The glucose level in your blood goes up. Too much glucose in your blood (also called hyperglycemia or high blood sugar) can cause many problems. Diabetes complications can include:
Slow healing wounds
Slow emptying of the stomach (gastroparesis)
Nerve damage (neuropathy) that causes numbness or tingling in hands or feet
Coma or death
What can I expect in the hospital?
You may need to stay in the hospital because you need more treatment for your diabetes complication than you can safely receive at home. This may include treating very high or very low blood sugar.
Several things may be done while you are in the hospital to monitor, test, and treat your condition. They include:
You will be checked often by the hospital staff.
You may have fingersticks to check your blood sugar regularly. This may be done as often as every hour. You will learn how to check your blood sugar level in order to manage your diabetes when you go home.
A heart (cardiac) monitor may be used to keep track of your heartbeat.
Your blood oxygen level may be monitored by a sensor that is attached to your finger or earlobe.
Your fluid intake may be monitored closely by keeping track of everything you eat and drink and any IV fluids you receive.
You may have a small tube (catheter) placed into your bladder through the urethra (the opening from the bladder to the outside of the body) to drain and measure urine from the bladder.
Testing may include:
Blood tests (Hemoglobin A1c) to check your average blood sugar over the past 3 months
Blood or urine tests to check for infections
Blood tests to check to see if your body is making insulin
Blood, urine, or other tests to monitor how well your organs are functioning
Arterial blood gas (ABG): A blood test to measure the levels of oxygen and carbon dioxide in your blood
X-rays: Pictures of the inside of the chest to check for infection
The treatment for diabetes mellitus and its complications depend on the type of diabetes and the complications that you have, as well as how well your blood sugar is controlled with treatment. The goal is for you to keep your blood sugar level in a normal range to prevent other complications. Treatment may include:
You will have a small tube (IV catheter) inserted into a vein in your hand or arm. This will allow medicine to be given directly into your blood and to give you fluids, if needed.
Your provider may prescribe medicines to:
Keep your blood sugar controlled
Treat other medical problems that may have been caused by or made worse because of diabetes
Treat or prevent an infection
Prevent side effects, such as nausea or constipation, from other treatments
Ask your healthcare provider about the symptoms and causes of low blood sugar and what to do when you have low blood sugar. Carry some form of sugar at all times, so you can treat low blood sugar quickly.
You may need surgery to treat complications of diabetes. This may include surgery to:
Remove infected tissue that will not heal because of your diabetes. This may include amputation of an infected body part
Treat gastroparesis by inserting a feeding tube or removing a blockage
Reduce leaking from blood vessels in the eyes. The surgeon may also use a laser to help reduce the growth of abnormal blood vessels or to clear bleeding into the eye.
Treat sexual dysfunction in men by implanting a penile device to allow erections
You may need physical therapy treatments if you have an infection or have had surgery. Physical therapy may include exercises for weak muscles, use of splints or special shoes.
You may need kidney dialysis to help filter your blood if your kidneys are not working properly.
What can I do to help?
You will need to tell your healthcare team if you have new or worsening:
Increased urination or trouble emptying the bladder
Increased thirst and dry mouth
Increased appetite or loss of appetite
Fast or irregular heartbeat
Fruity odor to breath
Change in vision, such as double vision, blurred vision, or trouble seeing out of one or both eyes
Floaters, which are black spots or cobweb-like shapes in your vision
Numbness in your feet or hands
Redness, bumps, blisters, or sores on your skin
Signs of infection around your surgical wound if you had surgery. These include:
The area around your wound is more red or painful
The wound area is very warm to touch
You have blood, pus, or other fluid coming from your wound area
You have chills or muscle aches
Ask questions about any medicine or treatment or information that you do not understand.
How long will I be in the hospital?
How long you stay in the hospital depends on your symptoms and how well you respond to treatment. The average amount of time to stay in the hospital with diabetes complications is 3 to 5 days.
Developed by RelayHealth.
Acute Care Advisor 2015.1 published by RelayHealth. Last modified: 2014-04-30 Last reviewed: 2014-04-24
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
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US Department of Health & Human Services. (2011) National and regional estimates on hospital use for all patients from the HCUP nationwide inpatient sample. Agency for healthcare research and quality website. Retrieved 04/09/2014 from http://hcupnet.ahrq.gov/HCUPnet.jsp