Hypoglycaemia in Inpatients with Diabetes on Nasogastric Feeding
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Hypoglycaemia in patients with diabetes on nasogastric feeding is both potentially damaging and under-researched. We retrospectively reviewed 50 such inpatients to determine factors influencing hypoglycaemia. Our results showed 10.9% patient-days with =1 hypoglycaemic episode and 3.5% total blood glucose values <3.5mmol/L. There was an association between sulphonylurea treatment and increased and extended hypoglycaemia. Reducing diabetes treatment post-hypoglycaemia was associated with reduced subsequent hypoglycaemia but not increased hyperglycaemia.This study supports optimal blood glucose monitoring, insulin treatment and judicious medication reduction post-hypoglycaemia.
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The Experience of Hypoglycaemia and Strategies Used for Its Management by Community-Dwelling Adults with Diabetes Mellitus: A Systematic ReviewTan, S.; Chen, H.; Taylor, B.; Hegney, Desley (2011)Background: Hypoglycaemia, a common complication of diabetes drug therapy, has been reported to influence therapy adherence and the quality of life of people with diabetes mellitus. No systematic reviews on the experience ...
Experience of hypoglycaemia and strategies used for its management by community-dwelling adults with diabetes mellitus: a systematic reviewTan, P.; Chen, H.; Taylor, B.; Hegney, Desley (2012)Aim: To synthesise the evidence on how community-dwelling adults with type 1 and type 2 diabetes mellitus experience hypoglycaemia and the strategies they use to control it. Methods: Using a three-step search strategy, ...
Omitting follow-up food after initial hypoglycaemic treatment does not increase the likelihood of repeat hypoglycaemiaVindedzis, S.; Marsh, B.; Sherriff, Jillian; Dhaliwal, Satvinder; Stanton, K. (2013)Introduction: Guidelines for self-treatment of hypoglycaemia specify initial treatment with quick-acting carbohydrate until blood glucose levels normalize and then follow-up with longer-acting carbohydrate. The few studies ...