Assessment and prevention of hypoglycaemia in primary care among U.S. Veterans: a mixed methods study.

ABSTRACT:

Background

Hypoglycaemia from diabetes treatment causes morbidity and lower quality of life, and prevention should be routinely addressed in clinical visits.

Methods

This mixed methods study evaluated how primary care providers (PCPs) assess for and prevent hypoglycaemia by analyzing audio-recorded visits from five Veterans Affairs medical centres in the US. Two investigators independently coded visit dialogue to classify discussions of hypoglycaemia history, anticipatory guidance, and adjustments to hypoglycaemia-causing medications according to diabetes guidelines.

Findings

There were 242 patients (one PCP visit per patient) and 49 PCPs. Two thirds of patients were treated with insulin and 40% with sulfonylureas. Hypoglycaemia history was discussed in 78/242 visits

SUBMITTER: Pilla SJ 

PROVIDER: S-EPMC10701452 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature