Postoperative management of hypoglycemia.

Individuals with Type 1 and Type 2 diabetes who are managed with insulin are at risk for developing hypoglycemia, a significant consequence of insulin therapy. Symptoms of hypoglycemia develop rapidly and the condition can be life threatening. It is imperative that the inpatient team, including the orthopaedic nurse, is able to recognize the signs and symptoms, respond appropriately, and prevent hypoglycemia. It is equally important to provide the patient with education to prevent, identify, and self-manage hypoglycemia at home. A case study example is included that addresses an elderly patient with Type 2 diabetes who had a total hip arthroplasty and developed hypoglycemia postoperatively while on an orthopaedic unit. Assessment, treatment, prevention, and patient self-management education of hypoglycemia are reviewed.