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
...nition of Terms...
...tinuous glucose monitoring (CGM) inv...
Evaluation
...aluation...
...s at High Risk for Developing Hypoglycemia Indiv...
Treatment
...atment...
...on 1Endocrine Society (ES) recommends...
...2ES suggests using real-time CGM and ADIPs rather...
...ndation 3ES suggests real-time CGM be used rat...
...ndation 4ES suggests initiation of CGM...
...e 3. Recommended Candidates for the Initiat...
...ble 4. Elements Needed for Initiation of Continu...
...mmendation 5ES suggests continuation of personal C...
...6ES recommends that inpatient glycemic...
...mendation 7ES suggests long-acting insul...
...ently Available Insulin PreparationsHavi...
...dation 8ES suggests that rapid-acting insulin...
...9ES recommends that a structured prog...
...Elements of a Structured Diabetes...
...0ES recommends that glucagon preparations t...
...ntly Available Glucagon Preparations...