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Diabetic Medicine - 2024 - Tamsett - Modifiable factors to prevent severe hypoglycaemic and diabetic ketoacidosis1.29 MB
Published VersionCC BY-NC-ND V4.0, Open Access
Journal article
Modifiable factors to prevent severe hypoglycaemic and diabetic ketoacidosis presentations in people with type 1 diabetes
Diabetic Medicine, Vol.41(9), pp.1-25
2024
PMID: 38923618
Abstract
Aims
In tackling rising diabetes-related emergencies, the need to understand and address emergency service usage by people with type 1 diabetes is vital. This review aimed to quantify current trends in presentations for type 1 diabetes-related emergencies and identify public health strategies that reduce the frequency of diabetes-related emergencies and improve glycaemic management.
Methods
Medline (OVID), Cochrane and CINAHL were searched for studies published between 2000 and 2023, focusing on people with type 1 diabetes, severe hypoglycaemia and/or diabetic ketoacidosis, and ambulance and/or emergency department usage. There were 1313 papers identified, with 37 publications meeting review criteria.
Results
The incidence of type 1 diabetes-related emergencies varied from 2.4 to 14.6% over one year for hypoglycaemic episodes, and between 0.07 and 11.8 events per 100 person-years for hyperglycaemic episodes. Notably, our findings revealed that ongoing diabetes education and the integration of diabetes technology, such as continuous glucose monitoring and insulin pump therapy, significantly reduced the incidence of these emergencies. However, socio-economic disparities posed barriers to accessing these technologies, subsequently shifting the cost to emergency healthcare and highlighting the need for governments to consider subsidising these technologies as part of preventative measures.
Conclusions
Improving access to continuous glucose monitoring and insulin pump therapy, in combination with ongoing diabetes education focusing on symptom recognition and early management, will reduce the incidence of diabetes-related emergencies. Concurrent research assessing emergency healthcare usage patterns during the implementation of such measures is essential to ensure these are cost-effective.
Details
- Title
- Modifiable factors to prevent severe hypoglycaemic and diabetic ketoacidosis presentations in people with type 1 diabetes
- Authors
- Zacchary Tamsett - The University of MelbourneSteven James - University of the Sunshine Coast, Queensland, School of Health - NursingFran Brown - Melbourne Diabetes Education and SupportDavid N. O'Neal - The University of MelbourneElif I. Ekinci (Corresponding Author) - Austin Health
- Publication details
- Diabetic Medicine, Vol.41(9), pp.1-25
- Publisher
- Wiley-Blackwell Publishing Ltd.
- Date published
- 2024
- DOI
- 10.1111/dme.15384
- ISSN
- 1464-5491; 0742-3071
- PMID
- 38923618
- Copyright note
- © 2024 The Author(s). Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
- Organisation Unit
- School of Health - Nursing
- Language
- English
- Record Identifier
- 991047795102621
- Output Type
- Journal article
Metrics
26 Record Views
InCites Highlights
These are selected metrics from InCites Benchmarking & Analytics tool, related to this output
- Collaboration types
- Domestic collaboration
- Web Of Science research areas
- Endocrinology & Metabolism
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Source: InCites