James talks to Glynis Ross about blood glucose monitoring and hyperglycaemia on the wards in patients with diabetes. In Part 2 of the discussion around managing deranged blood glucose levels on the wards we focus on hypoglycaemia.
Script Writer: Barath Arunasalam
Summary Writer: Claudia Hurwitz
Editor: Glynis Ross
Interviewee: Glynis Ross
Associate Professor Glynis Ross is a Visiting Endocrinologist at Royal Prince Alfred Hospital and part-time Senior Staff Specialist at Bankstown-Lidcombe Hospital, Sydney. She has been in charge of the Diabetes in Pregnancy Service at Royal Prince Alfred Women’s and Babies’ Hospital for over 25 years.
Glynis was a member of the Australasian Diabetes in Pregnancy Society (ADIPS) Council from 1991-1998 and 2002-2012, and President from 2008-2010. She has been on the Australian Diabetes Society Council since 2012 and is currently Vice-President and President-Elect. Her major clinical and research interests are Diabetes in Pregnancy, Type 1 Diabetes, Insulin Pump Therapy and In-patient Diabetes Management. Dr Ross serves on State and National Working Parties in these areas. She is involved in the teaching programs of trainees of the Australasian Colleges of Anaesthetics, Obstetrics & Gynaecology, and Physicians, as well as education programmes for Midwives, General Practitioners and Medical Undergraduates.
With Associate Professor Glynis Ross, Endocrinologist at Royal Prince Alfred Hospital, Sydney, Australia
Diabetes is a common condition, with about 30% of inpatients having diabetes. The majority of patients have type 2 diabetes, about 10% having type 1 diabetes, and a smaller subset having an alternate cause such as pancreatic or monogenic. There are also temporary forms of diabetes such as steroid-induced or gestational diabetes in people at higher risk of diabetes. Additionally, a large number of people have insulin resistance, a prediabetes state.
You are a junior doctor on the ward and you have been asked to see a patient with a BGL of 14 mmol/L.
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