Table 3.
Patient and clinician response to hypoglycaemia events among encounters with documented hypoglycemia.a
| Primary Care | Endocrinology | p-value | |
|---|---|---|---|
| Patients with identified hypoglycemia episodes | 23 (13.5) | 50 (32.1) | |
| Patient response to the episode | |||
| Self-administered carbohydrates | 10 (43.5) | 8 (16) | 0.03 |
| Glucagon | 0 (0) | 1 (2) | |
| Emergency medical service called | 1 (4.3) | 0 (0.0) | |
| Hospitalization | 0 (0) | 3 (6) | |
| Not assessed | 12 (52.2) | 38 (76) | |
| Clinician education and management response | |||
| Patients with previous diabetes education | 15 (65.2) | 18 (36) | 0.02 |
| In patients with previous diabetes education, time since last education | |||
| less to 1 year | 11 (73.3) | 5 (27.8) | 0.009 |
| 1 to 5 years | 4 (26.7) | 13 (72.2) | |
| Clinician provided education about hypoglycemia | 8 (34.8) | 21 (42) | 0.55 |
| During the encounter | 8 (100) | 12 (57.1) | 0.08 |
| Outside of the encounter | 0 (0) | 6 (28.6) | |
| Both during and outside of the encounter | 0 (0) | 3 (14.3) | |
| Not reported | 15 (65.2) | 29 (58) | |
| Content of diabetes education | |||
| Signs and symptoms of hypoglycemia | 0 (0) | 1 (2) | 0.51 |
| Signs and symptoms of hypoglycemia, Diet and exercise counseling | 1 (4.3) | 1 (2) | |
| Diet, exercise, and medication counseling | 0 (0) | 1 (2) | |
| Exercise counseling | 0 (0) | 1 (2) | |
| Medication counseling | 2 (8.7) | 8 (16) | |
| Not specified | 1 (4.3) | 1 (2) | |
| DSMES referrals | |||
| Dietitian | 4 (17.4) | 4 (8) | |
| Diabetes educator | 0 (0) | 4 (8) | |
| Changes in the treatment regimen | 8 (34.8) | 36 (72) | 0.003 |
| Type of treatment change | |||
| Same risk, different medication | 1 (4.3) | 5 (10) | 0.31 |
| De-Intensified | 7 (30.4) | 23 (46) | |
| Intensified | 0 (0) | 8 (16) | |
| Glucagon was prescribed | 2 (8.7) | 2 (4) | 0.41 |
| Glucose was prescribed | 3 (13) | 2 (4) | 0.15 |
DSMES diabetes self-management education and support
Values are numbers (percentages) unless otherwise stated.