Current Diabetes Reports

, 17:74 | Cite as

How Low Can You Go? Reducing Rates of Hypoglycemia in the Non-critical Care Hospital Setting

  • Kristen KulasaEmail author
  • Patricia Juang
Hospital Management of Diabetes (A Wallia and JJ Seley, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Hospital Management of Diabetes


Purpose of Review

The purpose of this review is to discuss strategies to reduce rates of hypoglycemia in the non-critical care setting.

Recent Findings

Strategies to reduce hypoglycemia rates should focus on the most common causes of iatrogenic hypoglycemia. Creating a standardized insulin order set with built-in clinical decision support can help reduce rates of hypoglycemia. Coordination of blood glucose monitoring, meal tray delivery, and insulin administration is an important and challenging task. Protocols and processes should be in place to deal with interruptions in nutrition to minimize risk of hypoglycemia. A glucose management page that has all the pertinent information summarized in one page allows for active surveillance and quick identification of patients who may be at risk of hypoglycemia. Finally, education of prescribers, nurses, food and nutrition services, and patients is important so that every member of the healthcare team can work together to prevent hypoglycemia.


By implementing strategies to reduce hypoglycemia, we hope to lower rates of adverse events and improve quality of care while also reducing hospital costs. Future research should focus on the impact of an overall reduction in hypoglycemia to determine whether the expected benefits are achieved.


Hypoglycemia Diabetes Insulin Inpatient Hospital Non-critical care 


Compliance with Ethical Standards

Conflict of Interest

Kristen Kulasa reports previously being a paid mentor for the Society of Hospital Medicine. Patricia Juang declares that she has no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.Division of Endocrinology, Diabetes, and MetabolismUniversity of California, San DiegoSan DiegoUSA

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