Diabetes PubMed

Efforts to reduce hypoglycemia and promote patient safety may require self-management support that is appropriate for those with limited health literacy (HL), and consider more vigilant surveillance, conservative glycemic targets or avoidance of the most hypoglycemia-inducing medications.

Hypoglycemia in the elderly is not only due to tight blood sugar control, but also due to a multitude of other factors.

This case report draws attention to spuriously normal glucose readings with a capillary blood glucose evaluation device in certain patients who have significant hypoglycaemia confirmed on arterial blood gas analysis and laboratory venous blood analysis.

We conclude that the risk of hypoglycemia during insulin infusion therapy is higher after a delay in BG measurement.

Skittles are as effective in treating hypoglycemia as more expensive BD Glucose Tablets in children with type 1 diabetes.

Because hypoglycemia can be difficult to diagnose from dumping syndrome, continuous glucose monitoring is a very useful tool revealing the episodes in free living circumstances and can be used to monitor the treatment success.

This report should raise the awareness of physicians to the potentially lethal effects of hypoglycemia and provide justification of efforts directed at avoiding nocturnal hypoglycemia.

Glycemic targets should be individualized as diabetes progresses, comorbidities develop, and to avoid having the side-effects of therapy (hypoglycemia and weight gain) predominate.

With particular attention to timely measurement and adjustment of insulin doses the risk of hypoglycemia experienced can be minimized.

The trisected method (C) identifies an intermediate group with impaired awareness and with a risk of severe hypoglycemia that is significantly different from those of aware and unaware patients.

Further development of algorithms is needed to prevent all episodes of hypoglycemia from occurring.

Only one third of patients with type 2 diabetes had done self monitoring with glucometer and although their knowledge about hypoglycemia and hyperglycemia was improved during education, these patients did not have improved significant values of the HbA1c compared to patients who had not done self-monitoring.

In 12 of 15 patients, EEG changes occurred before severe hypoglycemia as evaluated by the cognitive testing.

Findings suggest that early disease onset and hypoglycemia impact on the developing central nervous system, with hyperglycemia playing a lesser role.

Significant negative correlations were identified in most studied cognitive functions and ketoacidosis or family history of diabetes mellitus.

Capillary blood levels of 3-hydroxybutyrate may be sensitive, early indicators of relapse of diabetic ketoacidosis, and are easily obtained.

Hyperglycemia in early pregnancy may affect myocardial and placental development, thus contributing to the susceptibility to hypoxia seen in these infants.

Low serum vitamin D in US adolescents is strongly associated with hypertension, hyperglycemia, and metabolic syndrome, independent of adiposity.

Proactive, preventative dental and diabetes self care, as well as regular dental and diabetes assessment, are important management strategies because periodontal disease contributes to the progression of impaired glucose tolerance to diabetes mellitus and to hyperglycemia in individuals with established diabetes.

Patients with hyperglycemia in sepsis who are not diagnosed with diabetes before or during the hospitalization should be considered a population at increased risk for developing diabetes.