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How to prevent, identify and manage hypoglycaemia in adults with diabetes

Nicola Milne
Essential information on hypoglycaemia, how to prevent it and how to treat it if it occurs. The aim of the “How to” series is to provide readers with a guide to clinical procedures and aspects of diabetes care that are covered in the clinic setting.

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REFERENCES:

1. BNF (2022) Hypoglycaemia. NICE, London. Available at: https://bnf.nice.org.uk/treatment-summary/hypoglycaemia.html (accessed 28.04.22)

2. Alwafi H, Alsharif AA, Wei L et al (2020) Incidence and prevalence of hypoglycaemia in type 1 and type 2 diabetes individuals: a systematic review and meta-analysis. Diabetes Res Clin Pract 170: 108522

3. NICE (2021) Scenario: Insulin therapy – type 2 diabetes. NICE, London. Available at: https://cks.nice.org.uk/topics/insulin-therapy-in-type-2-diabetes/management/insulin-therapy-type-2-diabetes/#hypoglycaemia (accessed 28.04.22)

4. American Diabetes Association (2022) Standards of Medical Care in Diabetes – 2022. Abridged for primary care providers. Clin Diabetes 40: 10–38

5. Amiel SA (2021) The consequences of hypoglycaemia. Diabetologia 64: 963–70

6. Barnett AH, Cradock S, Fisher M (2010) Key considerations around the risks and consequences of hypoglycaemia in people with type 2 diabetes. Int J Clin Pract 64: 1121–9

7. Matyka K, Evans M, Lomas J et al (1997) Altered hierarchy of protective responses against severe hypoglycemia in normal aging in healthy men. Diabetes Care 20: 135–41

8. NICE (2015) Type 2 diabetes in adults: management [NG28]. Updated March 2022. NICE, London. Available at: https://www.nice.org.uk/guidance/ng28 (accessed 28.04.22)

9. NICE (2015) Type 1 diabetes in adults: diagnosis and management [NG17]. Updated March 2022. Available at: https://www.nice.org.uk/guidance/ng17 (accessed 28.04.22)

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