Importance of inpatient hypoglycaemia: impact, prediction and prevention.

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Importance of inpatient hypoglycaemia: impact, prediction and prevention.

Diabet Med. 2019 Jan 17;:

Authors: Ruan Y, Tan GD, Lumb A, Rea RD

Hypoglycaemia is a key barrier to achieving euglycaemic control in people who are hospitalized. Inpatient hypoglycaemia has been linked to adverse clinical outcomes, including mortality and longer stay in hospital. A number of studies have applied mathematical tools and statistical models to predict inpatient hypoglycaemia and identify factors that may result in hypoglycaemic events. Several different approaches have been tested to prevent inpatient hypoglycaemia. These can be categorized as human intervention, computerized methods or application of medical devices. In this review we provide an overview of the epidemiology of inpatient hypoglycaemia and its impact on patients and hospitals. We also discuss the existing methodology used to predict inpatient hypoglycaemia and the limited number of trials performed to prevent inpatient hypoglycaemia. The review highlights the urgent need for evidence-based methods to reduce inpatient hypoglycaemia. This article is protected by copyright. All rights reserved.

PMID: 30653706 [PubMed - as supplied by publisher]

One Comment

  1. There remains no evidence of benefit of tight control (by any definition) in medical patients in the hospital. Any such attempts will lead to adverse events. Risk without benefit.

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