Re-audit / follow-up cycle
Planning the next cycle
Inclusion criteria
Adults aged ≥18 admitted with acute illness who have a diagnosis of diabetes (Type 1, Type 2 or other) and are prescribed at least one diabetes medication on admission.
Exclusion criteria
Patients without diabetes; patients on diet-controlled diabetes with no medications; planned elective admissions for non-acute reasons; patients receiving end-of-life care where review is not appropriate.
Sample size target
60 cases across AMU, ED, SDEC and Care of the Elderly.
Planned re-audit date
3 months after intervention rollout (set when project setup is saved).
Resources & guidance
Original sources — link out to UK guidance
- NICE NG28 — Type 2 diabetes in adults: management
Recommendations on medication management in adults with type 2 diabetes, including risk considerations during acute illness.
UK guidance - NICE NG17 — Type 1 diabetes in adults: diagnosis and management
Guidance covering insulin management, including in acute illness (sick-day rules) for adults with type 1 diabetes.
UK guidance - JBDS — Inpatient guidelines
Joint British Diabetes Societies (JBDS) guidance on inpatient diabetes care, including self-management, peri-operative care, sick-day rules and management of type 1/type 2 diabetes in hospital.
UK guidance - NHS England — RightCare Diabetes Pathway
NHS England RightCare pathway for diabetes — supports system-level improvement and audit.
UK guidance
This tool supports, but does not replace, clinical judgement. Local policy, formulary and specialist advice should be followed.