Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Practical solutions to prevent and prepare for hypoglycemia [PODCAST]

The Podcast by KevinMD
Podcast
September 26, 2022
Share
Tweet
Share
YouTube video

This article is sponsored by the Academy for Continued Healthcare Learning, an independently owned and operated full-service medical education company that has been developing certified health care education for nearly twenty years.

Visit the tools and a CME quality improvement activity at preventhypotoolkit.org. This activity is supported by an educational grant from Lilly. This activity was sponsored by Purdue University College of Pharmacy in partnership with ACHL.

Despite advances in diabetes care, hypoglycemia remains a common complication. Yes, new therapies are associated with less hypoglycemia risk, and patients are increasingly using continuous glucose monitoring, but episodes of hypoglycemia still occur. Some of these episodes are severe, and patients require assistance for recovery.

Hypoglycemia and fear of an episode can be extremely detrimental to patients’ quality of life. Hypoglycemia is also linked to higher healthcare utilization, poorer glycemic control, and medication nonadherence. Evidence from landmark clinical trials also shows that episodes of severe hypoglycemia increase the risk of all-cause mortality and cardiovascular morbidity and mortality. Severe hypoglycemia is a serious complication and a medical emergency.

How can you help your patients prevent hypoglycemia and be prepared for an episode? First, in accordance with the ADA Standards of Care, you should assess patients’ occurrence and risk of hypoglycemia at every encounter. Ask if they have experienced any potential signs or episodes since you last saw them or if they have required assistance from another person. Review their self-monitoring blood glucose or continuous glucose monitoring data. Next, make sure they understand how to recognize the signs and treat an episode.

As outlined in the ADA Standards of Care, patients with an increased risk of level 2 or 3 hypoglycemia should have an active prescription for glucagon. Unfortunately, glucagon remains underutilized and underprescribed even with these recommendations. And, few patients fill their prescriptions for emergency glucagon.

Second-generation glucagon formulations can help patients and their caregivers choose the best approach. Once a patient obtains their emergency glucagon, the patient and their family, friends, and coworkers should know where it is and how to use it. Patients should also periodically verify the expiration date of their glucagon.

To better support health care providers, Davida Kruger, APN-BC and Anne Peters, MD, in collaboration with the Academy for Continued Healthcare Learning (ACHL), developed a simple, systematic approach to quality improvement to ensure that patients are prepared to prevent, recognize, and manage hypoglycemia. The framework and tools are intended for easy access and application in any practice setting.

You can obtain MOC credit for participation, or if you’re not able to participate in the quality improvement initiative, there is also a way to participate in our accredited CME/CPE/CE activity.

The quality improvement activity includes interventions and tools to assist you in practice:

  • a presentation by Ms. Kruger and Dr. Peters that includes the latest evidence and guidance supported by embedded commentary
  • Ms. Kruger and Dr. Peters discussing a series of case studies featuring patients at high risk of severe hypoglycemia
  • a digital clinical tool to help you assess a patient’s risk and ensure they are prepared
  • a handout on developing alerts
  • a patient education infographic on hypoglycemia and glucagon

Faculty biographies

Davida Kruger, APN-BC, has been a certified nurse practitioner in diabetes at Henry Ford Health in Detroit, MI, for 40 years. Her role includes clinical practice and research, and she is board-certified in both primary care and advanced diabetes management. She has been a co-investigator on numerous diabetes interventions and care studies, including the NIH-funded multicenter EDIC and ACCORD trials. She lectures extensively throughout the United States on maximizing outcomes in diabetes and diabetes management. She has published more than 60 abstracts, articles, and chapters on diabetes management. She has also served as editor-in-chief of two American Diabetes Association journals: Diabetes Spectrum and Clinical Diabetes.

Anne L. Peters, MD, is a professor of clinical medicine at the Keck School of Medicine of the University of Southern California. She runs diabetes centers in Beverly Hills and in underserved East Los Angeles. In addition to her clinical work, she has been a principal investigator on multiple grants, has written over 200 articles and four books, and has given over 500 lectures locally, nationally, and internationally. She has been on multiple guideline writing committees for the treatment of both type 1 and type 2 diabetes. Her major interests involve translating research findings, from lifestyle interventions to technology, to people with diabetes throughout the socioeconomic spectrum.  She was the recipient of the ADA Outstanding Physician Clinician Award, the Bernardo Houssay Award from the National Minority Quality Forum, and received a 2021 Endocrine Society Laureate Award for Public Service.

Did you enjoy today’s episode?

Rate and review the show so more audiences can find The Podcast by KevinMD.

Subscribe on your favorite podcast app to get notified when a new episode comes out.

Do you know someone who might enjoy this episode? Share this episode with anyone who wants to hear health care stories filled with information, insight, and inspiration.

Hosted by Kevin Pho, MD, The Podcast by KevinMD shares the stories of the many who intersect with our health care system but are rarely heard from.

Prev

Let doctors in recovery be able to recover their careers

September 26, 2022 Kevin 1
…
Next

We must work harder to provide COVID relief to other countries

September 27, 2022 Kevin 1
…

Tagged as: Diabetes, Endocrinology

Post navigation

< Previous Post
Let doctors in recovery be able to recover their careers
Next Post >
We must work harder to provide COVID relief to other countries

More by The Podcast by KevinMD

  • Transforming primary care for physician well-being [PODCAST]

    The Podcast by KevinMD
  • Understanding intersex health care [PODCAST]

    The Podcast by KevinMD
  • Out-of-office infusions in oncology care [PODCAST]

    The Podcast by KevinMD

Related Posts

  • a desk with keyboard and ipad with the kevinmd logo

    MKSAP: 45-year-old woman with type 2 diabetes mellitus

    mksap
  • Type 1 diabetes is no fun

    Ryan Ritchie
  • 9 medical student tips to prepare for the Match

    Diego Razura
  • The MMI: 3 strategies to help you prepare

    Rajani Katta, MD
  • A Black Panther for diabetics

    Ariel Lawrence
  • How hospitals prepare for hurricanes

    Daniel B. Hess, PhD

More in Podcast

  • Transforming primary care for physician well-being [PODCAST]

    The Podcast by KevinMD
  • Understanding intersex health care [PODCAST]

    The Podcast by KevinMD
  • Out-of-office infusions in oncology care [PODCAST]

    The Podcast by KevinMD
  • PSA screening: What you need to know [PODCAST]

    The Podcast by KevinMD
  • Balancing efficiency and compassion [PODCAST]

    The Podcast by KevinMD
  • Bitcoin’s role in diversified portfolios [PODCAST]

    The Podcast by KevinMD

More in Sponsored

  • The top 5 reasons to attend live, virtual CME/CE

    Pri-Med
  • Understanding the changes in migraine treatment

    Elaine C. Timm, MD
  • Where to invest $25K in 2023 according to experts

    Masterworks
  • The pros and cons of taking a gap year during medical school

    Med School Insiders
  • Secure your future today: the essential guide to disability and life insurance for physicians and professionals

    Set for Life Insurance & The Podcast by KevinMD
  • The “Blue Zone” asset: This unconventional asset is found in some of the world’s healthiest portfolios

    Masterworks
  • Most Popular

  • Past Week

    • Reigniting after burnout: 3 physician stories

      Kim Downey, PT | Physician
    • The erosion of patient care

      Laura de la Torre, MD | Physician
    • I’m tired of being a distracted doctor

      Shiv Rao, MD | Tech
    • Inside the grueling life of a surgery intern

      Randall S. Fong, MD | Physician
    • How Tratak yoga reshaped my USMLE Step 2 prep

      Dr. Nikita Mehdiratta | Education
    • Family support is pivotal in the treatment of schizophrenia

      Frank Chen, MD | Conditions
  • Past 6 Months

    • Medical gaslighting: a growing challenge in today’s medical landscape

      Tami Burdick | Conditions
    • I want to be a doctor who can provide care for women: What states must I rule out for my medical education?

      Nandini Erodula | Education
    • Balancing opioid medication in chronic pain

      L. Joseph Parker, MD | Conditions
    • Reigniting after burnout: 3 physician stories

      Kim Downey, PT | Physician
    • I’m a doctor, and I almost died during childbirth

      Bayo Curry-Winchell, MD | Physician
    • Mourning the silent epidemic: the physician suicide crisis and suggestions for change

      Amna Shabbir, MD | Physician
  • Recent Posts

    • How Tratak yoga reshaped my USMLE Step 2 prep

      Dr. Nikita Mehdiratta | Education
    • Transforming primary care for physician well-being [PODCAST]

      The Podcast by KevinMD | Podcast
    • COVID-19 unleashed an ongoing crisis of delirium in hospitals

      Christina Reppas-Rindlisbacher, MD, Nathan Stall, MD, and Paula Rochon, MD | Conditions
    • Doctors and disability insurance: Protecting your income

      Amarish Dave, DO | Finance
    • Emergency care nightmare: the urgent need for experienced nurses

      Rachel Basham, RN, CCRN | Conditions
    • Physicians have no autonomy. Here’s how to change that.

      Diane W. Shannon, MD, MPH | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

CME Spotlights

From MedPage Today

Latest News

  • Report: Persistence of Gender Inequalities in Cancer Care, and a Call to Action
  • Cancer Risk in NAFLD Higher With Early Disease Onset
  • FDA Displeased With Companies Purposely Adding Sesame to More Foods
  • COVID Vax Appointment Cancelled? New Shot Rollout Faces Challenges
  • Medical Residents Receive 100+ Job Offer Contacts, Survey Shows

Meeting Coverage

  • New Schizophrenia Treatments Are Coming: Don't Panic
  • Loneliness Needs to Be Treated Like Any Other Health Condition, Researcher Suggests
  • Stopping Medical Misinformation Requires Early Detection
  • AI Has an Image Problem in Healthcare, Expert Says
  • Want Better Health Outcomes? Check Out What Other Countries Do
  • Most Popular

  • Past Week

    • Reigniting after burnout: 3 physician stories

      Kim Downey, PT | Physician
    • The erosion of patient care

      Laura de la Torre, MD | Physician
    • I’m tired of being a distracted doctor

      Shiv Rao, MD | Tech
    • Inside the grueling life of a surgery intern

      Randall S. Fong, MD | Physician
    • How Tratak yoga reshaped my USMLE Step 2 prep

      Dr. Nikita Mehdiratta | Education
    • Family support is pivotal in the treatment of schizophrenia

      Frank Chen, MD | Conditions
  • Past 6 Months

    • Medical gaslighting: a growing challenge in today’s medical landscape

      Tami Burdick | Conditions
    • I want to be a doctor who can provide care for women: What states must I rule out for my medical education?

      Nandini Erodula | Education
    • Balancing opioid medication in chronic pain

      L. Joseph Parker, MD | Conditions
    • Reigniting after burnout: 3 physician stories

      Kim Downey, PT | Physician
    • I’m a doctor, and I almost died during childbirth

      Bayo Curry-Winchell, MD | Physician
    • Mourning the silent epidemic: the physician suicide crisis and suggestions for change

      Amna Shabbir, MD | Physician
  • Recent Posts

    • How Tratak yoga reshaped my USMLE Step 2 prep

      Dr. Nikita Mehdiratta | Education
    • Transforming primary care for physician well-being [PODCAST]

      The Podcast by KevinMD | Podcast
    • COVID-19 unleashed an ongoing crisis of delirium in hospitals

      Christina Reppas-Rindlisbacher, MD, Nathan Stall, MD, and Paula Rochon, MD | Conditions
    • Doctors and disability insurance: Protecting your income

      Amarish Dave, DO | Finance
    • Emergency care nightmare: the urgent need for experienced nurses

      Rachel Basham, RN, CCRN | Conditions
    • Physicians have no autonomy. Here’s how to change that.

      Diane W. Shannon, MD, MPH | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...