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. Author manuscript; available in PMC: 2021 Mar 1.
Published in final edited form as: Endocrine. 2019 Dec 4;67(3):552–560. doi: 10.1007/s12020-019-02147-w

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

a

Values are numbers (percentages) unless otherwise stated.