Reducing acute hyperglycaemic mortality in African diabetic patients.


Acute diabetic hyperglycaemic emergencies carry a high mortality in tropical countries. Defining a 'hyperglycaemic emergency' as the perceived need for intravenous insulin and saline, we found a mortality of 15/60 (25%) in a 2-month period at Baragwanath Hospital, Soweto in 1981. Following this a programme of improved diabetes care was organized, involving optimization of insulin regimens, home blood glucose monitoring, patient education and concentration of resources on young insulin-dependent patients. Five years later, in 1986, the survey was repeated over a similar 2-month period. The mortality this time was 5/48 (10%), a significant reduction compared with 1981 (p less than 0.05). In addition, mean admission glycosylated haemoglobin fell from 11.8 +/- 2.4 (+/- SD) to 10.5 +/- 2.3% (p less than 0.05). These improvements were achieved by relatively simple and inexpensive manoeuvres which could be applied elsewhere in developing countries.


Citations per Year

430 Citations

Semantic Scholar estimates that this publication has 430 citations based on the available data.

See our FAQ for additional information.

Cite this paper

@article{Huddle1989ReducingAH, title={Reducing acute hyperglycaemic mortality in African diabetic patients.}, author={Kenneth R Huddle and Geoffrey V. Gill}, journal={Diabetic medicine : a journal of the British Diabetic Association}, year={1989}, volume={6 1}, pages={64-6} }