Frailty and diabetes recommendations outlined in revised guideline

A series of recommendations to assist in the hospital management of older adults with diabetes have been released.  

The Joint British Diabetes Societies for Inpatient Care (JBDS) has published an amended version of the Inpatient Care of the Frail Older Adult with Diabetes guideline in a bid to improve standards of diabetes care of older frail adults in secondary care.

Professor Alan Sinclair of fDROP and King’s College, London coordinated the updates in this guideline.

The document is aimed at every member of the inpatient team with direct care responsibility for frail older people admitted in hospitals and those health and social care professionals providing care for them before and after their hospital admission to prevent and minimise hospital stay.

This will include hospital doctors, nurses, pharmacists, health care assistants, GPs, social care workers, carers, secretaries, ward clerks and other supporting staff.

The amendment includes an updated reference to COVID-19 and and an algorithm on managing diabetes and frailty on admission to hospital.

This guideline outline: “Even in well-funded healthcare systems, the provision of diabetes services for older people may be associated with problems such as poor access to care services, lack of educations resources, lack of specialist input, and poor follow-up practices.”

Professor Sinclair said: “Frailty is gaining increasing recognition in the NHS as an important prognostic indicator for outcome following admission into hospital.

“It is therefore entirely appropriate that this revised guidance creates a further opportunity to highlight why those admitted into hospital with diabetes or a diabetes-related complication must be screened for frailty and that their management takes into consideration their functional status and severity of frailty.”

To read the updated guideline, click here.

Photo by Robert Kneschke

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