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
...ition of Terms...
...time continuous glucose monitoring (CGM) involves...
Evaluation
...luation...
...ble 1. Persons at High Risk for Developing...
Treatment
...atment
...1Endocrine Society (ES) recommends CGM rather th...
...2ES suggests using real-time CGM and ADIPs rather...
...endation 3ES suggests real-time CGM be used rather...
...ecommendation 4ES suggests initiation of CGM...
...ended Candidates for the Initiation...
...s Needed for Initiation of Continuous Glucose...
...tion 5ES suggests continuation of personal...
...6ES recommends that inpatient glycemic su...
...mendation 7ES suggests long-acting in...
...ble 5. Currently Available Insulin Prepa...
...dation 8ES suggests that rapid-actin...
...ommendation 9ES recommends that a structured prog...
...Elements of a Structured Diabetes Education Prog...
Recommendation 10ES recommends that glucagon prepa...
...ntly Available Glucagon Preparations...