Inpatient to outpatient change in caloric intake in type 2 diabetes

• Research type

  Research Study

• Full title

  A comparison of the daily caloric intake in subjects with type 2 diabetes, regularly treated with insulin, during an acute medical admission and their home environment

• IRAS ID

  142537

• Contact name

  Martin Whyte

• Contact email

  m.b.whyte@surrey.ac.uk

• Research summary

  This is a study of the daily caloric intake of patients with type 2 diabetes mellitus (who use insulin to manage their diabetes), during an in-patient admission and later, at home, after convalescence.
  Patients with type 2 diabetes may often not have adequate diabetes control with diet and tablets and therefore need insulin. This is particularly the case if a patient is very overweight or obese as obesity leads to resistance to insulin.
  Currently, when a person with type 2 diabetes, using insulin, is admitted to hospital, it is advised that they remain on the same insulin dose they were having at home. We question whether this is appropriate as the hospital environment is very different to that of the home environment.

  We will study whether people have a different caloric (energy) intake at home compared to when they are hospital. If this is so, we are going to look at whether people who are more overweight have a greater difference in caloric intake compared to those who are lower weight. We will also look into whether people who have a greater caloric difference are having a greater occurrence of low blood sugars (hypoglycaemia).
  Suitable patients will be provided with a food record diary, over three days, so that a dietary assessment can be made on what they eat in the hospital. At the end of the three days of dietary monitoring, the patient’s observation chart will be reviewed for any evidence of hypoglycaemia; their daily insulin dose; and their body weight and height.
  The patients will then be followed up a week after discharge, with a 30-minute telephone interview. This interview will allow an assessment of what the patient has eaten at home (i.e. on a usual basis) over a 3-day duration.

• REC name

  North West - Greater Manchester South Research Ethics Committee

• REC reference

  13/NW/0886

• Date of REC Opinion

  27 Jan 2014

• REC opinion

  Further Information Favourable Opinion