Hypoglycaemia and brief interventions in the emergency department – A systematic review

Keller-Senn, Anita; Imhof, Lorenz; Sturt, Jackie

doi:10.1016/j.ienj.2017.02.006

Cited by 3 publications

(1 citation statement)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Findings from a meta-analysis indicated that social support from family members is significantly correlated with diabetes self-care, notably for glucose monitoring [28]. However, a recently published systematic literature review highlighted the lack of evidence related to brief interventions in diabetes and especially in the brief opportunistic environments of ED where people with diabetes attend frequently [29].…”

Section: Implications For Practice and Researchmentioning

confidence: 99%

Characteristics of patients treated for severe hypoglycaemia in emergency care settings – Analysis of routinely collected data

Keller-Senn

Imhof²,

Sturt

2019

International Emergency Nursing

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Implications For Practice and Researchmentioning

confidence: 99%

Characteristics of patients treated for severe hypoglycaemia in emergency care settings – Analysis of routinely collected data

Keller-Senn

Imhof²,

Sturt

2019

International Emergency Nursing

Self Cite

View full text Add to dashboard Cite

show abstract

Psychometric properties of the Clarke questionnaire for hypoglycemia awareness in the Spanish population with type 2 diabetes

Orozco‐Beltrán

Lecumberri-Pascual

Quesada

et al. 2022

Postgraduate Medicine

View full text Add to dashboard Cite

Modifiable factors to prevent severe hypoglycaemic and diabetic ketoacidosis presentations in people with type 1 diabetes

Tamsett,

James,

Brown

et al. 2024

Diabet Med

View full text Add to dashboard Cite

AimsIn tackling rising diabetes‐related emergencies, the need to understand and address emergency service usage by people with type 1 diabetes is vital. This review aimed to quantify current trends in presentations for type 1 diabetes‐related emergencies and identify public health strategies that reduce the frequency of diabetes‐related emergencies and improve glycaemic management.MethodsMedline (OVID), Cochrane and CINAHL were searched for studies published between 2000 and 2023, focusing on people with type 1 diabetes, severe hypoglycaemia and/or diabetic ketoacidosis, and ambulance and/or emergency department usage. There were 1313 papers identified, with 37 publications meeting review criteria.ResultsThe incidence of type 1 diabetes‐related emergencies varied from 2.4 to 14.6% over one year for hypoglycaemic episodes, and between 0.07 and 11.8 events per 100 person‐years for hyperglycaemic episodes. Notably, our findings revealed that ongoing diabetes education and the integration of diabetes technology, such as continuous glucose monitoring and insulin pump therapy, significantly reduced the incidence of these emergencies. However, socio‐economic disparities posed barriers to accessing these technologies, subsequently shifting the cost to emergency healthcare and highlighting the need for governments to consider subsidising these technologies as part of preventative measures.ConclusionsImproving access to continuous glucose monitoring and insulin pump therapy, in combination with ongoing diabetes education focusing on symptom recognition and early management, will reduce the incidence of diabetes‐related emergencies. Concurrent research assessing emergency healthcare usage patterns during the implementation of such measures is essential to ensure these are cost‐effective.

show abstract

Hypoglycaemia and brief interventions in the emergency department – A systematic review

Abstract: The literature review demonstrated a lack of evidence related to BI in diabetes within the emergency setting despite the ED being an ideal environment. Future research needs to be conducted to investigate the effectiveness of BI for patients with diabetes.

Cited by 3 publications

References 33 publications

Characteristics of patients treated for severe hypoglycaemia in emergency care settings – Analysis of routinely collected data

Characteristics of patients treated for severe hypoglycaemia in emergency care settings – Analysis of routinely collected data

Psychometric properties of the Clarke questionnaire for hypoglycemia awareness in the Spanish population with type 2 diabetes

Modifiable factors to prevent severe hypoglycaemic and diabetic ketoacidosis presentations in people with type 1 diabetes

Contact Info

Product

Resources

About