Crowded hospital ward transforming into serene outpatient clinic

Diabetes in Sri Lanka: Why Hospital Overcrowding Demands a New Approach

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Avery Sinclair in Health & Wellness April 2025 • 4 min read.

"A case study reveals how rethinking diabetes care can alleviate pressure on Sri Lanka's healthcare system."


Sri Lanka, like many developing nations, faces a growing diabetes epidemic. Current estimates indicate that 10.3% of the population lives with diabetes, and projections suggest this number could climb to 13.9% by 2025. This surge poses significant challenges to the country's healthcare system, particularly its hospitals.

A recent study conducted at a tertiary care hospital in Sri Lanka sheds light on the significant burden of diabetes on inpatient medical resources. The study reveals a concerningly high in-hospital prevalence of diabetes and highlights the need for innovative strategies to manage the condition more effectively.

This article will delve into the findings of this case study, exploring the reasons behind diabetes-related hospital admissions, the impact on hospital stay durations, and the overall quality of in-hospital glycemic control. By understanding these factors, we can identify potential solutions to alleviate the strain on Sri Lanka's healthcare system and improve the lives of individuals living with diabetes.

What's Driving Diabetes-Related Hospital Admissions in Sri Lanka?

Crowded hospital ward transforming into serene outpatient clinic

The study, conducted at Teaching Hospital Peradeniya, analyzed data from 300 consecutive medical admissions, comparing diabetic patients with a control group of non-diabetic patients. The results painted a stark picture of the diabetes burden: the in-hospital point prevalence of diabetes was a staggering 40.4%.

One of the most alarming findings was that a quarter of all diabetes-related admissions were primarily for the optimization of blood glucose control. This suggests that many individuals were not receiving adequate diabetes management in the outpatient setting, leading to complications that required hospitalization. Other significant reasons for admission included:
  • Acute coronary syndromes (22.7%)
  • Infections (16%)
  • Symptomatic hypoglycemia (2%)
The study also revealed that diabetic patients experienced significantly longer hospital stays compared to their non-diabetic counterparts – an average of 6.6 days versus 4.6 days (P<0.01). This increased length of stay further strains hospital resources and contributes to overcrowding. Moreover, the study found that in-hospital glycemic control was generally poor, with over 98% of diabetic patients experiencing at least one in-hospital glucose value exceeding 10 mmol/L. This highlights the need for improved protocols and resources for managing blood sugar levels during hospitalization.

The Path Forward: Towards Better Diabetes Care in Sri Lanka

The findings of this study underscore the urgent need for a more proactive and comprehensive approach to diabetes management in Sri Lanka. By strengthening outpatient care, empowering patients, and improving in-hospital glycemic control, the country can alleviate the burden on its healthcare system and improve the quality of life for individuals living with diabetes. Investing in effective diabetes outreach services, training healthcare professionals, and promoting patient education are essential steps towards building a healthier future for Sri Lanka.

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