Avoiding Hypoglycemia in the Hospital Setting

Key Points

  • Various patient- and provider-specific factors may increase the risk of inpatient hypoglycemia

  • Hypoglycemia is costly

    • - Patient level: increases risk of complications

    • - Institutional level: increases cost of care and may reduce reimbursement (Medicare “never” event)

  • Intensive insulin therapy increases the risk of severe hypoglycemia but not hypoglycemia-associated mortality

    • - Hypoglycemia predicts higher mortality among hypoglycemic patients who are not receiving insulin, not in patients treated with insulin

    • - Hypoglycemia-associated inpatient mortality is not drug-associated but linked to comorbidities

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