Release Date: 2023-09-14

Hypoglycemia Diabetes Mellitus Patients Admitted to the Emergency Department

Fulya Kose (Author)

Release Date: 2023-09-14

Hypoglycemia in diabetes mellitus patients presenting to the emergency department (ED) requires rapid assessment and intervention to prevent complications and ensure patient safety. Initial evaluation includes checking vital signs, mental status, and blood glucose levels to confirm hypoglycemia (typically defined as blood glucose

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Work TypeBook Chapter
Published inCurrent Perspective on Diabetes Mellitus in Clinical Sciences
First Page211
Last Page218
DOIhttps://doi.org/10.69860/nobel.9786053359111.19
ISBN978-605-335-911-1 (PDF)
LanguageENG
Page Count8
Copyright HolderNobel Tıp Kitabevleri
Licensehttps://nobelpub.com/publish-with-us/copyright-and-licensing
Hypoglycemia in diabetes mellitus patients presenting to the emergency department (ED) requires rapid assessment and intervention to prevent complications and ensure patient safety. Initial evaluation includes checking vital signs, mental status, and blood glucose levels to confirm hypoglycemia (typically defined as blood glucose <70 mg/dL). Prompt treatment involves administering oral or intravenous glucose to raise blood sugar levels quickly. Glucagon injection may be necessary for patients who are unable to take oral glucose due to altered consciousness or intravenous access issues. Close monitoring post-treatment is crucial to prevent rebound hypoglycemia and ensure stabilization. Identifying and addressing the underlying cause of hypoglycemia, such as excessive insulin or oral hypoglycemic agents, missed meals, or increased physical activity, is essential to prevent recurrence. Education on recognizing symptoms, self-management strategies, and preventing future episodes is integral before discharge, emphasizing the importance of regular blood glucose monitoring and adjusting medication doses as needed. Collaborative efforts between healthcare providers, diabetes educators, and patients optimize management and reduce the risk of hypoglycemia-related ED visits.
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  • Writing Group for the DCCT/EDIC Research Group, Orchard TJ, Nathan DM, et al. Association between

  • Cryer PE. The prevention and correction of hypoglycemia. In Handbook of Physiology: A Critical, ComprehensivePresentation of Physiological Knowledge and Concepts. Sec. 7, Vol 2. Jefferson L, Cherrington A, Eds. New York, Oxford University Press, 2001, p. 1057–1092

  • Cryer P 2008 Glucose homeostasis and hypoglycemia. In: Kronenberg H, Melmed S, Polonsky K, Larsen P, eds. Williams textbook of endocrinology, 11th ed. Philadelphia: Saunders, an imprint of Elsevier, Inc.; 1503 –153

  • U.K. pr ospective diabetes study 16. Overview of 6 years’ therapy of type II diabetes: a progressive disease. U.K. Prospective Diabetes Study Group [published correction appears in Diabetes 1996 Nov;45(11):1655]. Diabetes. 1995;44(11):1249-1258.

  • Gill G, Woodward A, Casson I, Weston P 2007 Exploring the ‘dead in bed syndrome’: a real life study of nocturnal hypoglycaemia, QT interval prolongation and cardiac arrhythmia. Diabet Med 24 (Suppl 1):13 (Abstract)

  • MacCuish AC 1993 Treatment of hypoglycemia. In: Frier BM, Fisher BM, eds. Diabetes and hypoglycemia. London: Edward Arnold; 212 – 221

  • Slama G, Traynard PY, Desplanque N, et al. The search for an optimized treatment of hypoglycemia. Carbohydrates in tablets, solutin, or gel for the correction of insulin reactions. Arch Intern Med. 1990;150(3):589- 593.

  • https://fi le.temd.org.tr/Uploads/publications/guides/documents/diabetes-mellitus_2022.pdf

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