Management of Individuals with Diabetes at High Risk for Hypoglycemia
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
...Definition o...
...e continuous glucose monitoring (CGM) inv...
Evaluation
...Evaluation...
...ons at High Risk for Developing Hypoglycemia I...
Treatment
...Treatment...
...endation 1Endocrine Society (ES) rec...
...ion 2ES suggests using real-time CGM and ADIPs rat...
...ecommendation 3ES suggests real-time CGM be...
...mmendation 4ES suggests initiation...
...Table 3. Recommended Candi...
...n 5ES suggests continuation of personal CGM in the...
...ndation 6ES recommends that inpatient glycemic...
...ES suggests long-acting insulin analogs...
...rently Available Insulin PreparationsHaving troub...
...dation 8ES suggests that rapid-acting insu...
...dation 9ES recommends that a struc...
...Table 6. Elements of...
...tion 10ES recommends that glucagon preparatio...
...Table 7. Cur...