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Hypoglycaemia in inpatients with diabetes on nasogastric feeding
Author(s) -
Vindedzis Sally A,
Marsh Beryl,
Sherriff Jill L,
Stanton Kim G
Publication year - 2014
Publication title -
practical diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.205
H-Index - 24
eISSN - 2047-2900
pISSN - 2047-2897
DOI - 10.1002/pdi.1824
Subject(s) - medicine , diabetes mellitus , hypoglycemia , insulin , endocrinology
Hypoglycaemia in patients with diabetes on nasogastric feeding is both potentially damaging and under‐researched. We retrospectively reviewed 50 such inpatients to determine factors influencing hypoglycaemia. Our results showed 10.9% patient‐days with ≥1 hypoglycaemic episode and 3.5% total blood glucose values <3.5mmol/L. There was an association between sulphonylurea treatment and increased and extended hypoglycaemia. Reducing diabetes treatment post‐hypoglycaemia was associated with reduced subsequent hypoglycaemia but not increased hyperglycaemia. This study supports optimal blood glucose monitoring, insulin treatment and judicious medication reduction post‐hypoglycaemia. Copyright © 2014 John Wiley & Sons.