Association Between Emergency Hyperglycemia Management Methods and Glucose Reduction Rate and Stay at Emergency Department

In emergency departments (EDs), hyperglycemia is a prevalent condition that affects 1% of patients. Most individuals with hyperglycemia can be discharged from the emergency department (ED) without needing to be admitted to the hospital since they don't have diabetic ketoacidosis or hyperosmolar hyperglycemic condition. Regarding the effect of reducing blood glucose levels on these patients or the best way to manage this population, opinions differ, and recent research has indicated that managing hyperglycemia in the emergency department may not be beneficial. The aim of this study was to determine actual glucose reduction (AGR) and length of stay at emergency department when using different modalities for management emergency hyperglycemia not hyperosmolar hyperglycemic state or diabetic ketoacidosis. This was a prospective cohort study, conducted on four hundred patients (400) with emergency hyperglycemia (not diabetic ketoacidosis or hyperosmolar hyperglycemic state) their blood glucose level≥350 mg /dl attended to Al-Zahraa hospital ED during the period from November 2022 to September 2023. Emergency department length of stay (EDLOS) was significantly lower in insulin and fluid receiving group (IFR group) compared to fluid receiving group (FR) group and insulin receiving group (IR group). AGR was significantly higher in IFR group compared to IR group and FR group. The current study demonstrated that IV insulin combined with IV fluid in the IFR group was not effective at reducing the dose of either but was effective in shortening EDLOS and elevating AGR in the current study.