Abstract
For diabetic patients, the critical path of a four-day educational hospitalization (four-day path) was produced. Since the hospitalization period is too short to control blood glucose, most of the cases leave our hospital before the daily profiles of blood glucose are controlled. In order to verify the effect of a four-day path on the control of diabetes after leaving hospital, case-control study was performed. The value of glycohemoglobin (HbAlc) after leaving hospital was compared with that of the patients of the two-week educational hospitalization path currently used from the former. Ten cases of the four-day hospitalization and ten cases of the two-week hospitalization in the same period were examined. HbAlc of all cases of both groups fell significantly. After thirteen months, the value of the four-day path patients and the two-week path patients were 6.8±0.6%, and 6.9±1.0%, respectively. There was no statistical significant difference of the value of HbAlc between both groups through the observation period of 13 months. Therefore, a four-day path may be an effective tool on the control of blood glucose.
