Abstract：
INTRODUCTION:Prediabetes is an important public health issue. In 2011, 79 million Americans had prediabetes, and 7 million were undiagnosed. By 2025, the number of persons with prediabetes is projected to increase to 472 million globally. For many, the emergency department may be the only source of medical care or interaction with a health care provider. This makes the emergency department an ideal place to identify individuals with elevated random blood glucose levels, inform them of the elevation, and refer them for follow-up. METHODS:This was a descriptive, correlational, cross-sectional study using retrospective data from 2 emergency departments in north San Diego County to determine the incidence of elevated blood glucose levels and the disposition of these individuals. Descriptive and correlational statistical analyses were completed with SPSS software (IBM, Armonk, NY). RESULTS:Patients (N = 106) with random blood glucose levels of 150 mg/dL or greater, without a prior diagnosis of diabetes, were identified over a 9-day period. The mean glucose level was 181.53 mg/dL. Of the patients, 45 (42%) were discharged. Only 1 of these 45 patients (2.2%) was informed about the elevated blood glucose level and referred for follow-up. DISCUSSION:Emergency nurses and providers care for patients with elevated blood glucose levels who may have undiagnosed prediabetes. The finding that only 1 patient with an elevated glucose level was informed and referred for follow-up indicates opportunities to address this population of patients who are being missed. Failing to inform and provide referral minimizes patients' abilities to make relevant lifestyle changes to help prevent or delay progression to type 2 diabetes.
journal_name
J Emerg Nursjournal_title
Journal of emergency nursingauthors
Rouse MD,Shoukry CLdoi
10.1016/j.jen.2013.02.002subject
Has Abstractpub_date
2014-07-01 00:00:00pages
311-6issue
4eissn
0099-1767issn
1527-2966pii
S0099-1767(13)00077-9journal_volume
40pub_type
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journal_title：Journal of emergency nursing
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journal_title：Journal of emergency nursing
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journal_title：Journal of emergency nursing
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journal_title：Journal of emergency nursing
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doi：
更新日期：1989-03-01 00:00:00
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journal_title：Journal of emergency nursing
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journal_title：Journal of emergency nursing
pub_type： 杂志文章
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journal_title：Journal of emergency nursing
pub_type： 杂志文章
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journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2019.03.004
更新日期：2019-07-01 00:00:00
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journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：
更新日期：1994-06-01 00:00:00
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journal_title：Journal of emergency nursing
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journal_title：Journal of emergency nursing
pub_type： 杂志文章
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journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：
更新日期：1992-12-01 00:00:00
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journal_title：Journal of emergency nursing
pub_type： 杂志文章,多中心研究
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更新日期：2005-12-01 00:00:00
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journal_title：Journal of emergency nursing
pub_type： 杂志文章
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更新日期：2020-12-11 00:00:00
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journal_title：Journal of emergency nursing
pub_type： 杂志文章,多中心研究
doi：10.1016/j.jen.2016.05.011
更新日期：2016-11-01 00:00:00
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journal_title：Journal of emergency nursing
pub_type： 杂志文章,评审
doi：10.1016/j.jen.2006.12.003
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journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1067/men.2002.125791
更新日期：2002-08-01 00:00:00
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journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/s0099-1767(95)80006-9
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journal_title：Journal of emergency nursing
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0099-1767(96)80213-3
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journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2016.10.001
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journal_title：Journal of emergency nursing
pub_type： 杂志文章,评审
doi：10.1016/j.jen.2016.03.029
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journal_title：Journal of emergency nursing
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journal_title：Journal of emergency nursing
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journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2019.11.003
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journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2012.02.011
更新日期：2013-09-01 00:00:00
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journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1067/men.2002.124991
更新日期：2002-06-01 00:00:00
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journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2011.09.011
更新日期：2013-07-01 00:00:00
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journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/s0099-1767(98)90014-9
更新日期：1998-04-01 00:00:00
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journal_title：Journal of emergency nursing
pub_type： 杂志文章
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更新日期：2020-11-20 00:00:00
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journal_title：Journal of emergency nursing
pub_type： 杂志文章
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更新日期：2016-05-01 00:00:00
