Management of Individuals with Diabetes at High Risk for Hypoglycemia

Publication Date: December 7, 2022

Key Points

Key Points

  • Hypoglycemia is associated with a number of unwanted outcomes including distress in those with diabetes and their caregivers, reductions in quality of life, and reductions in medication adherence, leading to increased risks for diabetes-related comorbidities.
  • Individuals with type 1 diabetes (T1D) may have clinically significant episodes of hypoglycemia as often as twice per week.
  • Those with type 2 diabetes (T2D) are at lower risk for hypoglycemia unless they have specific clinical characteristics that increase that risk, including the use of medications known to be associated with hypoglycemia (e.g., insulin, sulfonylureas), long duration of diabetes, and renal and/or hepatic dysfunction.

Definition of Terms

...nition of Terms...

...Real-time continuous glucose monitoring (CGM) invo...


Evaluation

...valuation

...s at High Risk for Developing Hypoglyc...


Treatment

Treatment

...endation 1Endocrine Society (ES) recomme...

...2ES suggests using real-time CGM and...

...ion 3ES suggests real-time CGM be u...

...ndation 4ES suggests initiation of CGM...


.... Recommended Candidates for the Init...


.... Elements Needed for Initiation of Cont...


...mendation 5ES suggests continuation of person...

...ecommendation 6ES recommends that inpatient g...

...ion 7ES suggests long-acting insulin analogs b...


...5. Currently Available Insulin PreparationsHaving...


...ion 8ES suggests that rapid-acting insulin a...

...9ES recommends that a structured prog...


...nts of a Structured Diabetes Education Progr...


...mmendation 10ES recommends that glu...


...7. Currently Available Glucagon Pre...