Diabetes Management in End of Life: A Preliminary Report Stemming From Clinical Experience

We report our experience of diabetes management in a palliative care setting. In our retrospective 3-year activity sample (n = 563), 27.2% of patients have a diagnosis of diabetes mellitus: 80% have cancer whereas 20% have a main diagnosis of other severe chronic diseases. As to the presence/absence of diabetes, no differences emerge in the examined clinical indicators and global survival, with the exception of body mass index and days of hospitalization. At lifetime analysis, Barthel index and palliative prognostic index are the only parameters significantly related to death. Even if diabetes seems not to modify the prognosis, it significantly influences the health care burden and the team engagement.

Source: American Journal of Hospice and Palliative Medicine - August 6, 2015 Category: Palliative Care Authors: Dionisio, R., Giardini, A., De Cata, P., Pirali, B., Rossi, S., Negri, E. M., Ferrari, P., Preti, P. Tags: Original Articles Source Type: research