Author: Ellen F Jones / Editor: Ellen F Jones / Reviewer: Sue Maurice, Tadgh Moriarty / Code: O7 / Published: 04/06/2021
Description:
Hypoglycaemia is easily diagnosed and treated in Emergency Departments (EDs), if it is considered. In this session we will look at the presentation, causes and treatment options available.
After completing this session you will be able to:
- Describe the regulatory responses which maintain normal glucose levels and the response to hypoglycaemia
- Recognise the signs and symptoms of hypoglycaemia
- Understand the causes of hypoglycaemia and factors affecting response to treatment
- Evaluate the factors which contribute to the presentation of, and response to treatment of hypoglycaemia
References:
- NICE Guidance NG17, Type 1 Diabetes in adults: Diagnosis & Management. Aug 2015. Updated July 2016
- Department of Health. National Service Framework for diabetes. Management of diabetic emergencies.
- Brackenridge A, Wallbank H, Lawrenson RA, Russle-Jones D. (2006) Emergency management of diabetes and hypoglycaemia. Emerg Med J, 23:pp.183-185.
- The Diabetes Control and Complications Trial Research Group. (1993) The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin dependent diabetes mellitus. N Eng J Med; 329:pp.977-986.
- Leese GP et. al. (2003) Frequency of severe hypoglycaemia requiring emergency treatment in type 1 and type 2 diabetes. Diabetes Care; 26:pp.1176-1180.
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- Joint British Diabetes Societies for Inpatient Care. The Hospital Management of Hypoglycaemia in Adults with Diabetes Mellitus, 3rd edition. JBDS-IP. Revised February 2018.
- Strachan, M. W. J. 2014. Frequency, causes and risk factors for hypoglycaemia in type 1 diabetes. In: Frier, B. M., Heller, S. R. & Mccrimmon, R. J. (eds.) Hypoglycaemia in clinical diabetes. 3rd ed. Chichester: John Wiley & Sons Ltd.
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