Endocrine Abstracts (2017) 49 EP407 | DOI: 10.1530/endoabs.49.EP407

Episodes of poorly controlled diabetes in 173 patients admitted in Vascular Surgery

María Molina Vega1, Pilar Losada Mora3, Alfonso M Garrido Castro2, Jose M García Almeida1, Juan L Carrillo Linares2, Miguel Damas Fuentes1, Carmen Rodríguez García1 & Cristina Díaz Perdigones1


1Endocrinology, Hospital Virgen de la Victoria, Malaga, Spain; 2Internal Medicine, Hospital Virgen de la Victoria, Malaga, Spain; 3Cardiology, Hospital Virgen de la Victoria, Malaga, Spain.


Introduction: Episodes of poorly controlled diabetes (DM) are one of the most frequent medical complications during hospitalization in the elderly population.

Objetives: To analyze the prevalence of episodes of diabetic decompensation in patients admitted to the area of Vascular Surgery and Angiology (VS).

Material and methods: Descriptive analysis of patients admitted to the VS Service who presented abnormally high or decreased blood glucose levels according to the criteria of the Vascular Surgeon who performed the consultation.

Results: From February 2011 to December 2014, 173 consultations were sent to Internal Medicine, Endocrinology or Cardiology regarding patients admitted to the VS area who had suffered some type of medical decompensation during admission. Of these patients, 94 (49.1%) had a documented history of DM. The reason for the consultation was ‘poorly controlled DM’ in 8 patients (4.6%) of whom had hyperglycemia 4 (50%) and hypoglycemia, 4 (50%) as well as ‘control of vascular risk factors’ in 18 (10.4%). However, after analysis of all patients, only 22 (12.7%) were diagnosed as decompensated DM in the discharge report. This implies a real decompensation of 23.4% of patients with known DM.

Conclusions: DM is a single cause of medical decompensation in 4.6% of patients admitted to VS. However, associated with decompensation of other vascular risk factors, one out of four known diabetics had abnormal blood glucose levels.

Together with the previous studies in which we conclude that approximately one in six known hypertensive patients is decompensated during admission to surgical areas, we suggest that an early evaluation of blood glucose and blood pressure performed by Cardiology, Endocrinology or Internal Medicine could be beneficial in terms of morbidity and hospital stay, since previous studies associate the diabetic uncontrol in patients admitted to Vascular Surgery to an average stay 9 days superior compared to non-diabetics.

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