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Hypoglycemia in Diabetes: Challenges and Opportunities in Care

Publication ,  Journal Article
Kreider, KE; Padilla, BI; Pereira, K
Published in: Journal for Nurse Practitioners
March 1, 2017

Optimal glycemic control, an A1c < 7% for most patients, is necessary to reduce the risk for diabetes complications. However, tight glucose control carries a risk for hypoglycemia. Hypoglycemia can be a frightening aspect of living with diabetes, causing harmful effects to the cardiovascular system and a decrease in quality of life. This article reviews the important aspects of hypoglycemia management from both the patient and provider perspective. Nurse practitioners (NPs) should understand the physiology behind glucose homeostasis and lead evidence-based discussions regarding medication timing and dose, physical activity/exercise, alcohol consumption, symptom management, treatment, and prevention of low blood glucoses. The management of special populations such as older adults, those with renal impairment, and pregnant women is included. In light of mounting evidence that hypoglycemia is harmful and should be avoided at all costs, NPs are well positioned to assist patients in identifying, managing, and preventing hypoglycemia.

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Published In

Journal for Nurse Practitioners

DOI

ISSN

1555-4155

Publication Date

March 1, 2017

Volume

13

Issue

3

Start / End Page

228 / 234

Related Subject Headings

  • Nursing
  • 4205 Nursing
  • 1110 Nursing
 

Citation

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ICMJE
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Kreider, K. E., Padilla, B. I., & Pereira, K. (2017). Hypoglycemia in Diabetes: Challenges and Opportunities in Care. Journal for Nurse Practitioners, 13(3), 228–234. https://doi.org/10.1016/j.nurpra.2016.08.032
Kreider, K. E., B. I. Padilla, and K. Pereira. “Hypoglycemia in Diabetes: Challenges and Opportunities in Care.” Journal for Nurse Practitioners 13, no. 3 (March 1, 2017): 228–34. https://doi.org/10.1016/j.nurpra.2016.08.032.
Kreider KE, Padilla BI, Pereira K. Hypoglycemia in Diabetes: Challenges and Opportunities in Care. Journal for Nurse Practitioners. 2017 Mar 1;13(3):228–34.
Kreider, K. E., et al. “Hypoglycemia in Diabetes: Challenges and Opportunities in Care.” Journal for Nurse Practitioners, vol. 13, no. 3, Mar. 2017, pp. 228–34. Scopus, doi:10.1016/j.nurpra.2016.08.032.
Kreider KE, Padilla BI, Pereira K. Hypoglycemia in Diabetes: Challenges and Opportunities in Care. Journal for Nurse Practitioners. 2017 Mar 1;13(3):228–234.
Journal cover image

Published In

Journal for Nurse Practitioners

DOI

ISSN

1555-4155

Publication Date

March 1, 2017

Volume

13

Issue

3

Start / End Page

228 / 234

Related Subject Headings

  • Nursing
  • 4205 Nursing
  • 1110 Nursing