Proactive specialist diabetes care for people with type 1 diabetes admitted to hospital improves treatment satisfaction: STOIC-T1D randomised controlled trial

Abstract

Aim: For people with type 1 diabetes (T1D), hospital admission can be challenging due to glycaemic instability and loss of self-management autonomy. We investigated whether proactive care from a specialist inpatient diabetes team improved satisfaction with diabetes care. Methods: We conducted the Specialist Treatment of Inpatients: Caring for Type 1 Diabetes (STOIC-T1D) randomised controlled trial. Adults with T1D admitted to hospital under a nonendocrinology team were randomised to receive proactive care (early bedside consultation by the diabetes team without referral) versus usual care (consultation upon request by the treating team). The primary outcome was inpatient satisfaction, asses..