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Review
. 2020 May;14(3):560-566.
doi: 10.1177/1932296820918540.

Inpatient Hypoglycemia: The Challenge Remains

Paulina Cruz  1
Affiliations
Review

Inpatient Hypoglycemia: The Challenge Remains

Paulina Cruz. J Diabetes Sci Technol. 2020 May.

Abstract

Hypoglycemia in inpatients with diabetes remains the most common complication of diabetes therapies. Hypoglycemia is independently associated with increased morbidity and mortality, increased length of stay, increased readmission rate, and increased cost. This review describes the importance of reporting and addressing inpatient hypoglycemia; it further summarizes eight strategies that aid clinicians in the prevention of inpatient hypoglycemia: auditing the electronic medical record, formulary restrictions and dose-limiting strategies, hyperkalemia order sets, electronic glucose management systems, prediction tools, diabetes self-management, remote surveillance, and noninsulin medications.

Keywords: hypoglycemia prediction; hypoglycemia prevention; inpatient diabetes; inpatient hypoglycemia; insulin.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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