Hypoglycemia Communication in Primary Care

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064190%3A_____%2F21%3AN0000057" target="_blank" >RIV/00064190:_____/21:N0000057 - isvavai.cz</a>

Alternative codes found

RIV/00064203:_____/21:10427715 RIV/00216208:11130/21:10427715

Result on the web

<a href="http://dx.doi.org/10.1007/s11606-021-06907-1" target="_blank" >http://dx.doi.org/10.1007/s11606-021-06907-1</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s11606-021-06907-1" target="_blank" >10.1007/s11606-021-06907-1</a>

Result language

angličtina

Original language name

Hypoglycemia Communication in Primary Care

Original language description

Letter to the Editors: We read with great interest the review article by Dr Pilla et al., “Hypoglycemia Communication in Primary Care Visits for Patients with Diabetes” published recently in the Journal of General Internal Medicine.1 In this qualitative study, the authors analyzed 83 audio-recorded primary care visits from one urban health practice in the USA to determine the frequency and content of hypoglycemia communication in primary care visits. The authors concluded that in this high hypoglycemia risk population, communication about interval hypoglycemia and counselling for hypoglycemia prevention occurred in a minority of visits. The authors presented excellent insight into general practice counselling related to hypoglycemia, and we do not have any criticism of the study. As the article might also serve as a useful outline for similar future studies, we would like to offer two more hypoglycemia-related topics which might be added into a prospective investigation. The presence of nocturnal hypoglycemia should also be monitored during these physician visits. A study with blinded continuous glucose monitor in type 2 diabetes individuals revealed a substantial number of hypoglycemia episodes that occurred at night and were unnoticed.2 These events were found in patients treated with insulin and those treated with oral antidiabetics. Another study focused on non-severe nocturnal hypoglycemic events found their negative effect on subjects in the areas of diabetes self-management, sleep quality, and subject function.3 Main symptoms which point at nocturnal hypoglycemia are vivid dreams, nightmares, morning headache, poor-quality sleep, restless behaviour during sleep, chronic fatigue, lethargy, depression, disturbed or damp bedclothes, night sweats, and nocturnal convulsions.4 Older people with T2DM differ from younger people with respect to other aspects of hypoglycemia. Hypoglycemia in older patients often presents with some neurological symptoms (such as lightheadedness and unsteadiness, incoordination and ataxia, slurring of speech, and visual disturbances) and is either not identified as hypoglycemia or is misdiagnosed as other medical disorders. Cerebrovascular disease is often suggested to be the cause as the symptoms resemble those of a transient ischemic attack.5 With great respect, we suggest considering these comments if the study continuation is planned.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30218 - General and internal medicine

Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2021

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

JOURNAL OF GENERAL INTERNAL MEDICINE

ISSN

0884-8734

e-ISSN

1525-1497

Volume of the periodical

36

Issue of the periodical within the volume

8

Country of publishing house

US - UNITED STATES

Number of pages

1

Pages from-to

2473-2473

UT code for WoS article

000652100800006

EID of the result in the Scopus database

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