PREVENTION AND MANAGEMENT OF INSULIN-ASSOCIATED HYPOGLYCEMIA IN HOSPITALIZED PATIENTS

摘要: Objective: To determine whether appropriate therapeutic changes in insulin doses are made to prevent and manage insulin-associated hypoglycemic events non–critically ill hospitalized patients. Methods: This retrospective study was conducted adults on medical or surgical floors with hypoglycemia, excluding treatment infusions, pumps, parenteral nutrition. The first event after 48 hours of admission the index event. Over 1-year period, a total 457 were included as events. Results: An indication for an dose adjustment identified 32 42% patients day −2 −1, respectively, before event, which 35 55%, had reduction ≥10%. Following 44% ≥20%. Therapeutic daily by ≥20% associated wi...