School of Nursing
Doctor of Nursing Practice (DNP)
Hypoglycemia, Glycaemia, Glycemic Control, "Diabetes complications", Diabetic Management, Diabetic Care
Ikwueme, Chinedum Rosemary, "Self-Management Education For Prevention, Early Detection, and Treatment of Hypoglycemia: An Integrative Review" (2020). Doctoral Dissertations and Projects. 2642.
Hypoglycemia is a major complication from poor diabetic care management. Available literature indicates that it is the underlying cause of mortality in over 258,000 deaths reported in 2017. That notwithstanding, it remains a phenomenon that is given less attention than it deserves, particularly in adults with type 2 diabetes. Aside from the huge annual financial costs to the health care system (about $327 billion) in 2017, patients with hypoglycemia complications risk many cardiovascular and neurological complications, including skipped time from work in middle aged adults, dementia, falls, hospitalization and death. The purpose of this integrative review is to educate nurses and support staff who work in Emergency Department (ED) and Emergency Department Observatory (EDO) as the frontline staff, so that they can apply the knowledge gained to the treatment of patients who present at ED and EDO. The proposed educational intervention will utilize Diabetes Basics to educate nurses on how to balance diabetes treatment to reduce blood glucose without inducing hypoglycemia through effective glycemic control, balanced nutrition, and lifestyle changes. The target population for this project are adults with type 2 diabetes mellitus (T2DM) patients aged between 35 and 97 years. Keywords: hypoglycemia, “diabetes complications”, glycaemia, “glycemic control’, and ‘diabetic management’ or ‘diabetic care’.