Prevention of hypoglycaemia in patients treated by insulin


Authors: Marián Mokáň;  Peter Galajda
Authors‘ workplace: I. Interná klinika JLF UK a UN Martin
Published in: Forum Diab 2020; 142(3): 145-150
Category:

Overview

Hypoglycaemia is limiting factor of intensive treatment of patients with diabetes mellitus. Insulin therapy, mainly during intensified regiment, is associated with higher risk of hypoglycaemia. For prevention of hypoglycaemia during insulin treatment is necessary to modify insulin doses with aim to avoid severe hypoglycaemia and to prefer treatment with lower risk of hypoglycaemia. Therapy with insulin analogs is associated with lower risk of hypoglyc­aemia compared to standard insulins. In indicated cases with repeated hypoglycaemia is necessary to consider the treatment by insulin pump and to use modern technology for detection of hypoglycaemia. Less strict glycaemic control is recommended in high risk patients with older age, long disease duration and present cardiovascular disease and/or microvascular complications.

Keywords:

diabetes mellitus – hypoglycaemia – insulin – insulin analogs – insulin pump


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Labels
Diabetology Endocrinology Internal medicine
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