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When diabetic patients are admitted to the hospital, their outpatient medication regimens often are modified, even when admissions are for reasons other than diabetes. To quantify the frequency of these changes, investigators identified 16,000 older adults (median age, 73) with diabetes who were hospitalized during a 3-year period in the U.S. Veterans Affairs (VA) system for problems other than diabetes, who were not taking insulin at admission, and who received outpatient follow-up in the VA system. Diabetes regimens at discharge were compared with preadmission regimens; intensification was defined as adding new medications or increasing dosages of previous medications.
About 10% of patients were discharged with diabetes regimens that were …