Treatment of hypoglycemia in hospitalized adults: a descriptive study.
OBJECTIVE
The purpose of this study was to describe hypoglycemia treatment patterns in 2 Midwestern hospitals.


METHODS
To describe hypoglycemia treatment patterns, a retrospective chart review of 210 patients who experienced hypoglycemia while hospitalized at 2 Midwestern hospitals was conducted. A total of 484 episodes of hypoglycemia were analyzed for adherence to the 5 steps of the practice guidelines found in the respective hospital policy manuals.


RESULTS
Adherence to practice guidelines was low. There was not a single case of adherence to all 5 steps at either study hospital. Adherence to the steps of the guidelines ranged from a low of 2.1% for completion of a 1-hour post-hypoglycemia treatment blood glucose to a high of 70.9% for documentation of the event.


CONCLUSIONS
Adherence to hypoglycemia practice guidelines was low. Because of the high prevalence of diabetes in acute care settings, it is imperative that hospital care providers become proficient at basic diabetes management.
University of Detroit Mercy, McAuley School of Nursing, Detroit, Michigan, USA. anthonmj@udmercy.edu
Maureen
M
Anthony
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003920:Diabetes Mellitus / Q000188:drug therapy; D005260:Female; D006801:Humans; D007003:Hypoglycemia / Q000139:chemically induced / Q000453:epidemiology / Q000517:prevention & control / Q000628:therapy*; D007004:Hypoglycemic Agents / Q000009:adverse effects; D007297:Inpatients; D007328:Insulin / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D015146:Midwestern United States / Q000453:epidemiology
D007004:Hypoglycemic Agents; D007328:Insulin