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Hypoglycaemia

Prevalence
Causes
Clinical features
Investigations
Therapy
Prevention
Prognosis
Clinical features

Ask about current insulin regimen a

Why?

  • Patients on an intensive insulin regimen are at increased risk of developing severe hypoglycaemia. a

An intensive insulin regimen increases the risk of severe hypoglycaemia

Patient Treatment Comparison Outcome CER OR
(95% CI)
NNT
(95% CI)
type 1 diabetes a intensive insulin regimen conventional therapy severe hypoglycaemia
at 2-6 years
30% 2.88
(2.38 to 3.48)
4
(3 to 5)
 

Note:

  • Using human insulin compared with porcine insulin does not increase risk of developing hypoglycaemia. b

Expiry date: April 2004
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   D   Matthews
CAT Writers   M   Taylor , RS   Phillips , CM   Ball , R   Harden