When should a diabetic patient go to hospital

The One type of diabetic patients who are at risk of the need to stay in hospital beds, to the nature of diabetes and its effect on various organs of the body, which may reach the degree of need to follow closely. May be severe complications of the disease or its complications among chronic Mistojbat stay in the hospital. Perhaps the entry of patient diabetes hospital Mlazemth to bedside is one of the milestones experienced by the patient of diabetes, so it should regulate access to that station, and through the development of medical requirements that require their presence transfer the patient to the hospital, where the survival of its many implications affecting the patient or affecting the health system itself, including that this represents an increase in economic burden on the medical treatment foundation, which constitutes the other hand, the burden of indirectly on the national economy, and working hours wasted, and an inventory of medical services specialized to move toward that patient.

The reasons for going There are important reasons to integrate the diabetic patient to the hospital, namely:

Metabolic complications of acute threats to health. New infections of diabetes among children and young age. Poor metabolic control and in need of close follow-up to determine the causes of that vulnerability, so the treatment policy be modified in the interest of patient. The presence of chronic complications that require intensive treatment. There are some other diseases that affect the level of control in diabetes. The incidence of new diabetes type one. The application of certain methods of treatment that you need to follow closely the method of treatment such as intensive insulin or use insulin pumps. Perhaps these requirements are not requirements of the firm, and remains the rule always is the ruling on the clinical medical need for patients to keep within the hospital.

Complications of diabetes: Perhaps the chronic complications of diabetes and one of the most serious complications affecting the patient, as these complications can impair many of the organs of the body function. Perhaps the presence of these complications, a requirement of the task that had to follow closely for this patient.

The reasons can be divided to refer patients with diabetes into two types of referral:

Type I: Transmission of emergency in the course: The presence of frequent vomiting, dehydration, mental and neurological disorders with diabetes. Diabetic foot: the existence of cellular inflammation, or the presence of abscess, or gangrene wetlands.

Type II: an urgent referral:

Children and young people new to the injury. Recent cases of infection, uncontrolled and unstable, or the presence of diabetic ketoacidosis acidification. Cases of diabetes associated with pregnancy. The incidence of type I diabetes, a recent diagnosis. Levels of care Primary care level: is this a pyramid type of health services. Due to the expansion of this rule are primary health care centers to provide the initial induction of the state of society and you covered it the primary care system.

Secondary level of care: The public hospitals and clinics sugar form of system to deal with cases of diabetic patients referred by primary care centers, or referred from other clinics, or other parts of the health system.

Tertiary care level: This level is very specialized health care, which is limited to its role in dealing with patients with diabetes who suffer health problems require a high degree of specialization.

Cases that could be pursued through the diabetes clinic:

Diabetes combined with hypertension (systolic pressure over 140 mm / Hg, and diastolic pressure over 90 mm / Hg in spite of intensive treatment and accuracy of the measurement method). Diabetes combined with a high level of hemoglobin linked with glucose more than 8%, and in spite of the access-dose oral drug to the maximum. The presence of symptoms of high sugar, although access to the highest doses of oral treatment Boukhavdhat sugar. Patients with diabetes who suffer lack of awareness of symptoms of low sugar. Diabetes combined with high blood fat (cholesterol and triglycerides). Diabetes accompanied by impairment of the nerve terminal and painful illness or neuroses mono. Diabetes combined with Balbilp protein, or protein micro Albelp, or high blood creatinine. Diabetes combined with psychological difficulties resulting from the diagnosis or the fear of complications or fear of having complications or phobias of injections in patients with type I, diabetes, insulin dependent, diabetes. Women with diabetes, disorders, or if you want to represent the glucose in pregnancy.