Management of Hyperglycemic Patients in Emergency Medicine Department
Management of Hyperglycemic Patients in Emergency Medicine Department
The main purpose of this study is how to manage hyperglycemic patients in emergency
 departments, to determine the conditions that require blood glucose regulation and to examine
 the prognosis of the patients in the next 30 days, depending on the regulation method.
The study will be conducted between 15.12.2020 and 15.03.2021. Patients over the age of 18
 who applied to the emergency department with any complaint and whose blood glucose level> 300
 mg / dl in the examinations (as the finger tip and / or blood biochemistry examination
 parameter) performed in case of clinical necessity will be included in the study. Patients or
 their relatives (for patients who are unable to give consent) will be asked to read and sign
 the informed consent form if they accept it. Patients' age, gender, history, whether they are
 diagnosed with diabetes, medications used, vital signs, complaints of admission to the
 emergency room, hospitalization and definitive diagnosis will be recorded. The study form for
 the followed-up patients will be added to each patient's file and filled in by the physicians
 in the patient's follow-up.

 The following parameters will be included in the work form;

 1. Age of the patient

 2. Gender

 3. Biography

 4. Presence of diabetes diagnosis, drugs used, if any

 5. Other medications

 6. The complaint of applying to the emergency room

 7. Whether treatment for hyperglycemia is applied in the emergency department, what
 treatment is applied

 8. How much IV fluid and / or insulin therapy is applied

 9. Duration of stay in the emergency department

 10. Results of routine blood tests

 11. Weight

 12. The trend of blood glucose levels in patients treated for hyperglycemia

 13. Presence of acute complications due to hyperglycemia

 14. Application and discharge BG levels

 15. Whether there are classical symptoms of DM before admission to the emergency department

 16. Whether hypoglycemia develops or not

 17. Was medication prescribed for DM at the time of discharge?

 18. Whether he was hospitalized or not. Patients will be called 30 days after leaving the
 emergency room (ER). Within this period, whether they applied to the emergency service
 again, if they did, the application complaint, the diagnosis of ER discharge, and the
 treatment method used will be questioned.
Inclusion Criteria:

 -  Patients over the age of 18, presenting to the emergency department with any complaint
 and with a glucose level> 300 mg / dL in blood tests will be included in the study.

 Exclusion Criteria:

 -  Pregnant, under 18 years of age, patients who were referred to the emergency
 department by referral from another center, patients who received intravenous glucose
 treatment, patients using systemic glucocorticoids, hepatic insufficiency, renal
 failure, adrenal insufficiency, pancreatitis, metastatic carcinoma, patients receiving
 chemotherapy, patients with instability criteria will not be taken into work.