Avoid Insulin-Related Adverse Events When Treating Hyperkalemia: Could Impaired Awareness of Hypoglycemia Play a Role?

Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11130%2F18%3A10383012" target="_blank" >RIV/00216208:11130/18:10383012 - isvavai.cz</a>
Alternative codes found
RIV/00064173:_____/18:N0000021 RIV/00064203:_____/18:10383012 RIV/00216208:11120/18:43917388
Result on the web
<a href="https://doi.org/10.1016/j.jen.2018.08.004" target="_blank" >https://doi.org/10.1016/j.jen.2018.08.004</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1016/j.jen.2018.08.004" target="_blank" >10.1016/j.jen.2018.08.004</a>

Result language
angličtina
Original language name
Avoid Insulin-Related Adverse Events When Treating Hyperkalemia: Could Impaired Awareness of Hypoglycemia Play a Role?
Original language description
Based on our clinical experience, we speculate that type 1 diabetes mellitus could contribute to a higher level of the aforementioned risk. One of the reasons for this could be impaired awareness of hypoglycemia, which might be present in 30% or an even higher portion of patients. Therefore, we would also recommend that providers consider asking the patient about his/her ability to recognize hypoglycemia or perform a simple Gold method. The Gold method poses the question to patients, "Do you know when your hypoglycemic episodes are beginning?" The respondent then completes a 7-point Likert scale, with 1 representing "always aware" and 7 representing "never aware." A score of GREATER-THAN OR EQUAL TO4 implies a level of impaired awareness of hypoglycemia, and these patients should be monitored for possible hypoglycemia with greater attention. Impaired awareness of hypoglycemia may also be present in persons with type 2 diabetes7 (especially those treated with insulin or sulfonylurea derivatives), who could benefit from the procedure as well. We believe that such a simple step could further decrease the risk of hypoglycemia after the insulin treatment of hyperkalemia in patients with diabetes mellitus.
Czech name
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Czech description
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Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30202 - Endocrinology and metabolism (including diabetes, hormones)

Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year
2018
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

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