Current Diabetes Reports

, 14:445

Inpatient Hypoglycemia: A Challenge That Must Be Addressed

  • Leslie Eiland
  • Whitney Goldner
  • Andjela Drincic
  • Cyrus Desouza
Hospital Management of Diabetes (G Umpierrez, Section Editor)

DOI: 10.1007/s11892-013-0445-1

Cite this article as:
Eiland, L., Goldner, W., Drincic, A. et al. Curr Diab Rep (2014) 14: 445. doi:10.1007/s11892-013-0445-1
Part of the following topical collections:
  1. Topical Collection on Hospital Management of Diabetes

Abstract

Hypoglycemia in the inpatient setting is a common occurrence with potentially harmful outcomes. Large trials in both the inpatient and outpatient settings have found a correlation between hypoglycemia and morbidity and mortality. The incidence of hypoglycemia is difficult to assess, due to a lack of standardized definitions and different methods of data collection between hospital systems. Risk factors that predispose to hypoglycemia involve the changing clinical statuses of patients, nutrition issues, and hospital processes. Mechanisms contributing to morbidity due to hypoglycemia may include an increase in sympathoadrenal responses, as well as indirect changes affecting cytokine production, coagulation, fibrinolysis, and endothelial function. Prevention of hypoglycemia requires implementation of several strategies that include patient safety, quality control, multidisciplinary communication, and transitions of care. In this article, we discuss all of these issues and provide suggestions to help predict and prevent hypoglycemic episodes during an inpatient stay. We address the issues that occur upon admission, during the hospital stay, and around the time of discharge. We believe that decreasing the incidence of inpatient hypoglycemia will both decrease costs and improve patient outcomes.

Keywords

Inpatient Hypoglycemia Diabetes Complications Prevention Insulin 

Copyright information

© Springer Science+Business Media New York (outside the USA) 2013

Authors and Affiliations

  • Leslie Eiland
    • 1
    • 2
  • Whitney Goldner
    • 2
  • Andjela Drincic
    • 2
  • Cyrus Desouza
    • 1
    • 2
  1. 1.VA Nebraska – Western Iowa Health Care SystemOmahaUSA
  2. 2.Department of Internal Medicine, Division of Diabetes, Endocrinology and MetabolismUniversity of Nebraska Medical CenterOmahaUSA

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