Trine Damsted Rasmussen, Anne-Marie Nybo Andersen, Claus Thorn Ekstrøm, Signe Smith Jervelund, Sarah Fredsted Villadsen
Improving health literacy responsiveness to reduce ethnic and social disparity in stillbirth and infant health: A cluster randomized controlled effectiveness trial of the MAMAACT intervention
International journal of nursing studies
aim provide guidelines evaluation management adults hypoglycemic disorders including diabetes mellitususing recommendations grading recommendations assessment development evaluation grade system quality evidence graded low plus sign circle ooo low plus sign circle plus sign circle oo moderate plus sign circle plus sign circle plus sign circle high plus sign circle plus sign circle plus sign circle plus sign circlewe recommend evaluation management hypoglycemia patients whipples triadsymptoms signs consistent hypoglycemia low plasma glucose concentration resolution symptoms signs plasma glucose concentration raisedis documented patients hypoglycemia without diabetes mellitus recommend following strategy first pursue clinical clues potential hypoglycemic etiologiesdrugs critical illnesses hormone deficiencies nonislet cell tumors absence causes differential diagnosis narrows accidental surreptitious even malicious hypoglycemia endogenous hyperinsulinism patients suspected endogenous hyperinsulinism measure plasma glucose insulin cpeptide proinsulin betahydroxybutyrate circulating oral hypoglycemic agents episode hypoglycemia measure insulin antibodies insulin insulin secretagogue treatment diabetes mellitus common cause hypoglycemia recommend practice hypoglycemia risk factor reductionaddressing issue hypoglycemia applying principles intensive glycemic therapy considering conventional risk factors indicative compromised defenses falling plasma glucose concentrationsin persons diabetes