Diurnal temporal patterns of hypoglycaemia in hospitalized people with diabetes may reveal potentially correctable factors. Issue 12 (29th June 2013)

• Record Type: Journal Article
• Authors: Kerry, C.; Mitchell, S.; Sharma, S.; Scott, A.; Rayman, G.
• Is Part Of: Diabetic medicine. Volume 30:Issue 12(2013:Dec.)
• Page Start: 1403
• Page End: 1406
• Publication Date: 2013-06-29
• Subjects: Diabetes -- Periodicals; 616.462
• DOI: 10.1111/dme.12256
• Languages: English
• ISSNs: 0742-3071

Abstract

<abstract abstract-type="main" id="dme12256-abs-0001"> <title>Abstract</title> <sec id="dme12256-sec-0001" sec-type="section"> <title>Aim</title> <p>To determine whether diurnal temporal variations in hypoglycaemic frequency occur in hospitalized patients.</p> </sec> <sec id="dme12256-sec-0002" sec-type="section"> <title>Methods</title> <p>Hypoglycaemic events were identified in a snapshot bedside audit of capillary blood glucose results from diabetes charts of all inpatients receiving insulin or a sulphonylurea (with or without insulin) on 2 days separated by 6 weeks. Additionally, capillary blood glucose measurements were remotely captured over 2 months, in the same category of patients, and analysed for temporal patterns. Hypoglycaemia was defined as 'severe' when the capillary blood glucose was < 3.0 mmol/l and 'mild' when the capillary blood glucose was between 3.0 and 3.9 mmol/l.</p> </sec> <sec id="dme12256-sec-0003" sec-type="section"> <title>Results</title> <p>The bedside audit found that 74% of those audited experienced a hypoglycaemia event. Eighty‐three per cent of all hypoglycaemic events and 70% of severe events were recorded between 21.00 and 09.00 h. This was confirmed in the longer duration remote monitoring study where 70% of all hypoglycaemic events and 66% of severe events occurred between 21.00 and 09.00 h.</p> </sec> <sec id="dme12256-sec-0004" sec-type="section"> <title>Conclusion</title> <p>Hypoglycaemia occurs more frequently between 21.00 and 09.00 h in hospitalized patients receiving treatments that can cause hypoglycaemia. This may be related to insufficient carbohydrate intake during this period, and is potentially preventable by changes in catering practice.</p> </sec> </abstract>