Modifiable factors to prevent severe hypoglycaemic and diabetic ketoacidosis presentations in people with type 1 diabetes
Authors' conclusion
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.
Study context
- Population
- People with T1D with severe hypoglycaemia and/or DKA and ambulance and/or ED usage; studies published 2000–2023 (Medline, Cochrane, CINAHL)37 publications
- Outcome
- Incidence of T1D-related emergencies
Methodological details1313 papers identified
- 1313 papers identified
Pooled result
As reported in the abstract
Hypoglycaemic episodes over one year
2.4 to 14.6%
Hyperglycaemic episodes
0.07 and 11.8 events per 100 person-years
Further pooled results
- Socio-economic disparities posed barriers to accessing these technologies, shifting cost to emergency healthcare
Original publication
Modifiable factors to prevent severe hypoglycaemic and diabetic ketoacidosis presentations in people with type 1 diabetes. Diabet Med. Published 24 June 2024. doi:10.
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