Paucity of Published Data and Protocols for Hypoglycemia Management in Long-term Care

低血糖 医学 指南 梅德林 糖尿病 长期护理 重症监护医学 医疗保健 糖尿病管理 儿科 家庭医学 老年学 护理部 2型糖尿病 病理 内分泌学 经济增长 政治学 法学 经济
作者
Matthew R. Krecic,James H. Meyer,Kathleen J. Chavanu
出处
期刊:The Senior care pharmacist [American Society of Consultant Pharmacists]
卷期号:39 (10): 373-381
标识
DOI:10.4140/tcp.n.2024.373
摘要

Background: Older people with diabetes are at high risk for hypoglycemia. Implementing a hypoglycemia treatment protocol in long-term care (LTC) settings may positively affect patient-related outcomes and health care resource utilization and costs. Anecdotal experience indicates little has been studied and published regarding this clinical practice. Objective: To identify hypoglycemia treatment protocols established for LTC settings and assess their effects on patient-related outcomes and health care resource use. Data Sources: The authors performed a systematic literature search of English-language articles and abstracts published between January 1, 2003 (PubMed), or 2018 (Google Scholar) and May 10, 2023. Search terms were “hypoglycemia,” “diabetes mellitus,” “longterm care,” “nursing facilities,” “assisted living facilities,” “geriatrics,” “elderly,” “aged,” “disabled,” “disease management,” “evidence-based medicine,” “clinical protocols,” “guideline,” “glucagon,” and/or “blood glucose.” Included were publications with hypoglycemia treatment and management protocols or hypoglycemia-specific recommendations for LTC settings. DATA SYNTHESIS: The authors identified 405 articles and abstracts, removed 36 duplicates, screened 369 titles/ abstracts, and analyzed the full text for 93. Five met the inclusion criteria. Two originated from the American Diabetes Association: 2016 position statement regarding the management of diabetes in LTC and skilled nursing facilities, and 2023 standard-of-care guideline for managing older people with diabetes. One included the results after implementing an overall diabetes clinical care management algorithm in LTC facilities. A 2020 abstract and 2019 article were the only 2 publications involving specific hypoglycemia treatment protocols in LTC settings. Conclusion: This systematic literature search identified lack of published hypoglycemia treatment protocols in LTC settings and their effects on patient outcomes.

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