关键词: 住院患者；糖尿病；持续皮下胰岛素输注；跨学科团队；精细化管理

Abstract: Objective: To set up and evaluate the model of meticulous glycemic management for patients receiving insulin pump therapy in non-endocrine department with interdisciplinary team (IDT) cooperation. Methods: A total of 327 patients treated with insulin pumps in the non-endocrine department were divided into two groups according to the time of new IDT model implementation. Finally174 patients from April 2017 to September 2017 were enrolled into control groups, receiving a multidisciplinary collaborative management model; and153 patients enrolled from October 2017 to March 2018, served as observation groups receiving an IDT’s meticulous glycemic management model. According to clinical needs, experts in the same level including endocrinologists, non-endocrinologists, diabetes specialists, and core members of the diabetes quality control group were included in IDT. The IDT designed a refined glycemic adjustment program, which was implemented in the form of nursing supplement prescriptions. Quality of glycemic management were compared between the two groups. Results: The ratio of targeted range glycemic was enhanced from 41.2% to 49.4% (P<0.001), while the proportion of severe hyperglycemia was reduced from 9.8% to 7.9% (P<0.001);the proportions of severe hypoglycemia and hypoglycemia were increased (0.0% VS 0.1%, 0.4% VS 0.5%), but the differences were not statistically significant (P>0.05). Conclusion: The interdisciplinary team's meticulous management is beneficial to glycemic quality for patients receiving insulin pump therapy in non-endocrine department.

Key words: inpatients; diabetes mellitus;continuous subcutaneous insulin infusion; interdisciplinary team; meticulous management