Enhancing Diabetes Care: Strategies for Preventing Inpatient Hypoglycemia
DOI:
https://doi.org/10.22270/ajprd.v11i3.1399Abstract
Hypoglycemia, a common complication of diabetes treatments among hospitalized patients, poses significant risks, including increased morbidity, longer hospital stays, higher readmission rates, and greater financial burdens. In the hospital setting, hypoglycemia poses a significant challenge, impacting patient health and healthcare resources. This review dives deep into this issue, shedding light on the many factors contributing to hypoglycemia during hospital stays and its effects on patients. It emphasizes practical strategies for preventing hypoglycemia, such as patient education and the use of new technologies like continuous glucose monitoring. Additionally, it highlights the crucial role pharmacists play in managing hypoglycemia and improving patient care. By offering clear insights and actionable recommendations, this review aims to help healthcare providers better navigate the complexities of inpatient diabetes care for improved patient outcomes.
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References
Cruz P. Inpatient Hypoglycemia: The Challenge Remains. Journal of Diabetes Science and Technology. 2020; 14(3):560-566.
American Diabetes Association Professional Practice Committee; 16. Diabetes Care in the Hospital: Standards of Care in Diabetes—2024. Diabetes Care 1 January 2024; 47 (Supplement_1): S295–S306.
American Diabetes Association Professional Practice Committee; 6. Glycemic Goals and Hypoglycemia: Standards of Care in Diabetes—2024. Diabetes Care 1 January 2024; 47 (Supplement_1): S111–S125.
American Diabetes Association Professional Practice Committee; 7. Diabetes Technology: Standards of Care in Diabetes—2024. Diabetes Care 1 January 2024; 47 (Supplement_1): S126–S144.
Thome, J. &Byon, D.. (2018). Addressing hypoglycemic emergencies. U.S. Pharmacist. 43. HS2-HS6.
Pratiwi C, Mokoagow MI, Made Kshanti IA, Soewondo P. The risk factors of inpatient hypoglycemia: A systematic review. Heliyon. 2020; 6(5):e03913.
Gianchandani RY, Neupane S, Heung M. Hypoglycemia in Hospitalized Hemodialysis Patients With Diabetes: An Observational Study. J Diabetes Sci Technol. 2018; 12(1):33-38.
Lake A, Arthur A, Byrne C, Davenport K, Yamamoto JM, Murphy HR. The effect of hypoglycaemia during hospital admission on health-related outcomes for people with diabetes: a systematic review and meta-analysis. Diabet Med. 2019; 36(11):1349-1359.
Yue X, Wu J, Ruan Z, Wolden ML, Li L, Lin Y. The Burden of Hypoglycemia in Patients With Insulin-Treated Diabetes Mellitus in China: Analysis of Electronic Medical Records From 4 Tertiary Hospitals. Value Health Reg Issues. 2020; 21:17-21.
Borzì V, Frasson S, Gussoni G, et al. Risk factors for hypoglycemia in patients with type 2 diabetes, hospitalized in internal medicine wards: Findings from the FADOI-DIAMOND study. Diabetes Res ClinPract. 2016; 115:24-30.
González-Vidal, T., Rivas-Otero, D., Gutiérrez-Hurtado, A. et al. Hypoglycemia in patients with type 2 diabetes mellitus during hospitalization: associated factors and prognostic value. DiabetolMetabSyndr 15, 249 (2023).
Christou, Maria & Christou, Panagiota&Kyriakopoulos, Christos & Christou, Georgios &Tigas, Stelios. (2023). Effects of Hypoglycemia on Cardiovascular Function in Patients with Diabetes. International Journal of Molecular Sciences. 24. 9357. 10.3390/ijms24119357.
Griffing KL. Hypoglycemia Prevention in Hospital Patients: A Quality Improvement Project to Prevent Severe and Recurrent Hypoglycemia. Clin Diabetes. 2016;34(4):193-199.
Singh LG, Satyarengga M, Marcano I, et al. Reducing Inpatient Hypoglycemia in the General Wards Using Real-time Continuous Glucose Monitoring: The Glucose Telemetry System, a Randomized Clinical Trial. Diabetes Care. 2020; 43(11):2736-2743.
Cook CA, Vakayil V, Pribyl K, et al. A Pharmacist-Driven Glycemic Control Protocol to Reduce the Rate of Severe Hypoglycemia in High-Risk Patients. Hosp Pharm. 2022; 57(1):45-51.
Donihi AC, Moorman JM, Abla A, Hanania R, Carneal D, MacMaster HW. Pharmacists' role in glycemic management in the inpatient setting: An opinion of the endocrine and metabolism practice and research network of the American College of Clinical Pharmacy. J Am CollClin Pharm. 2019; 2:167–176.
Shi FH, Shen L, Yue J, et al. Intervention by clinical pharmacists can improve blood glucose fluctuation in patients with diabetes and acute myocardial infarction: A propensity score-matched analysis. Pharmacol Res Perspect. 2021; 9(2):e00725.
Wood M, Moses J, Andrade DC, et al. Pharmacy stewardship to reduce recurrent hypoglycemia. J Am Pharm Assoc (2003). 2023; 63(6):1813-1820.
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Copyright (c) 2024 Rosmin Jacob, Blessy Biju, Dr. L. Panayappan, Dr. Rajesh Kumar Sharma
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