2014糖尿病指南: 地血糖Hypoglycemia

Hypoglycemia

At-risk patients
   - Ask about symptomatic and asymptomatic hypoglycemia at each encounter

Preferred treatment: glucose (15-20 g)*
   • After 15 mins of treatment, repeat if hypoglycemia continues (per SMBG)
   • When SMBG normal: patient should consume meal or snack to prevent recurrence

Prescribe glucagon if significant risk of severe hypoglycemia

Hypoglycemia unawareness or episode of severe hypoglycemia
   • Reevaluate treatment regimen
   • Insulin-treated patients: raise glycemic targets for several weeks to partially reverse hypoglycemia unawareness and reduce recurrence

Low or declining cognition
  - Continually assess cognitive function with increased vigilance for hypoglycemia

*Any form of glucose-containing carbohydrate can be used
SMBG=self-monitoring of blood glucose

Source: American Diabetes Association.