From Protocol to Practice: Lessons in Inpatient Hypoglycemia Management
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From Protocol to Practice: Lessons in Inpatient Hypoglycemia Management
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About this listen
This episode examines a hospital-wide hypoglycemia management protocol at Mayo Clinic. Recognizing the serious impact of inpatient hypoglycemia, a multidisciplinary team launched a prevention-focused protocol inspired by 2020 ADA guidelines.
Their initial strategy was to intervene at glucose levels below 90 mg/dL to prevent low blood sugar before it occurred. However, real-world data revealed unintended consequences. Many patients between 70–90 mg/dL were not at true risk for hypoglycemia, resulting in overtreatment, unnecessary IV dextrose and glucagon use, increased costs, and strain during a national dextrose shortage.
Hear how the team navigated these challenges, highlighting key quality improvement lessons.
Hosts: Timothy Morgenthaler, MD and Sheri Nemec, MS, CPXP
Guests:
Sneha Mohan MD, Associate Consultant, Endocrinology, Diabetes and Metabolism
Marny Carlson, M.S., R.N., NPD-BC, Nursing Education Specialist
#patientsafety #keyintoquality #qualityimprovement #safetyculture #mayoclinic
Host: Timothy Morgenthaler, M.D. | https://www.linkedin.com/in/timorgenthaler/
Host: Sheri Nemec| https://www.linkedin.com/in/sheryl-sheri-nemec-a627982a/
#mayokeyintoquality