A recent study has revealed critical insights into the challenges faced by patients, families, and clinicians in managing steroid-induced hyperglycaemia (SIH) after hospital discharge.
The research, funded by the NIHR Applied Research Collaboration Kent, Surrey and Sussex, led by the University of Surrey and conducted at East Surrey Hospital, highlights the urgent need for improved care pathways, better communication, and the potential role of technology in supporting patients outside hospital settings.
Understanding the burden of SIH
SIH, a condition triggered by steroid treatment, often complicates diabetes management and poses a heightened risk of hypoglycaemia as steroid doses taper post-discharge. Despite its prevalence, the study, published in Diabetic Medicine, found that experiences of managing SIH in the community is daunting.
The findings reveal widespread concern among patients and families about the risks of hypoglycaemia and a lack of confidence in self-managing the condition—particularly among those with more than one health condition. Many reported receiving conflicting advice from different care teams and limited follow-up support.
Clinicians, especially in primary care, expressed difficulty in managing SIH due to capacity constraints, often leaving hospital teams to continue oversight, thereby increasing their workload. Communication gaps between care teams further compounded these challenges.
Recommendations for better care
The study recommends:
- Developing individual care plans for SIH.
- Enhancing training and communication across multidisciplinary teams.
- Ensuring consistent follow-up and providing patients with a clear point of contact.
- Providing technology to support self-management and care coordination.
Nyangi Gityamwi, ARC KSS Digital Innovation, Post-Doctoral Research Fellow at the University of Surrey said
The next phase of the project involves securing additional funding to pilot and evaluate technology-enabled solutions for SIH management in community settings.
Impact and next steps
The project has already begun to influence thinking and practice around the management of steroid-induced hyperglycaemia (SIH) out of hospital. Through patient interviews, clinician engagement, and public involvement workshops, the research has identified gaps in care continuity, communication, and patient empowerment.
For further information about the project contact
🎥 Watch a video on how technology can support the management of steroid-induced hyperglycaemia and diabetes beyond hospital care.
📄 Read the full qualitative study exploring the experiences and views of patients and their family members managing steroid-induced hyperglycaemia (SIH) out of hospital
