Hypoglycemia Lecture Powerpoint

Question 1

Hypoglycemia definition

Answer 1

Episode of abnormally low plasma glucose conc. that exposes an indiviual to potential harm, considered severe (uncorrectable by self) when <70mg/dL

Question 2

Independent risk factors for severe hypoglycemia (5)

Answer 2

• Intensive glycemic control
• previous history of hypoglycemia
• renal insufficiency (inability to clear drugs and unable to perform gluconeogenesis)
• microvascular complication
• Longer duration of diabetes

Question 3

Symptoms of hypoglycemia (7)

Answer 3

• palpitations
• tremor
• sweating
• hunger
• paresthesia
• cognitive or behavioral change
• more than 50% asymptomatic***

Question 4

Potential barriers to patients in lowering their blood sugar (4)

Answer 4

• Decreased adherence***
• fear of hypoglycemia
• decreased work productivity due to a low
• lower health related quality of life

Question 5

If a patient is on metformin, sulfonylurea, and SGLT2 all to control diabetes and they have a hypoglycemic episode, the culprit of their reaction and the one to lower is the…

Answer 5

….sulfonylurea

Question 6

Strategies to prevent hypoglycemia (4)

Answer 6

• Patient education
• dietary intervention
• exercise management
• glucagon prescription training of caregivers and family members

Question 7

Hypoglycemia treatment in a patient who can still consume food

Answer 7

• 2-3 glucose tabs
• 3-5 hard candies
• etc.
• Repeat if not improved in 15 minutes
• follow with meal of bread and protein

Question 8

Medication adjustment for hypoglycemic episode should only be considered when not readily explained by…

Answer 8

….conventional factors including skipped or irregular meals or unaccustomed exercise