Rebeca Reyes-García1, Pedro Mezquita-Raya2, Óscar Moreno-Pérez3, Manuel Muñoz-Torres4, Juan Francisco Merino-Torres5, Rosa Márquez Pardo6, Esteban Jódar-Gimeno7, Javier Escalada San Martín8, Manuel Gargallo-Fernández9, Alfonso Soto-Gonzalez10, Noemí González Pérez de Villar11, Diego Bellido Guerrero12, Fernando Gómez-Peralta13, Daniel de Luis Román14, Martín López de la Torre Casares15. 1. Unidad de Endocrinología, Hospital Universitario Torrecárdenas, Almería, España. Electronic address: rebeca.reyes.garcia@gmail.com. 2. Unidad de Endocrinología, Hospital Universitario Torrecárdenas, Almería, España. 3. Servicio de Endocrinología, Hospital General de Alicante, Alicante, España. 4. UGC Endocrinología y Nutrición, Hospital Universitario San Cecilio, Granada, España. 5. Servicio de Endocrinología y Nutrición, Hospital Universitario La Fe, Valencia, España. 6. UGC Endocrinología y Nutrición, Hospital de Jerez, Jerez, España. 7. Departamento de Endocrinología y Nutrición, Hospital Universitario Quiron Salud Madrid, Pozuelo de Alarcón, Madrid, España. 8. Departamento de Endocrinología y Nutrición, Clínica Universidad de Navarra, Pamplona, España; CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), ISCIII, Madrid, España; Grupo de Diabetes & Enfermedades Metabólicas, Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, España. 9. Endocrinología y Nutrición, Hospital Universitario Infanta Leonor, Fundación Jiménez Díaz, Madrid, España. 10. Servicio de Endocrinología y Nutrición de A Coruña, Hospital Universitario de A Coruña, A Coruña, España. 11. Servicio de Endocrinología y Nutrición, Hospital Universitario La Paz, Madrid, España. 12. Servicio de Endocrinología y Nutrición, Complejo Hospitalario Universitario de Ferrol (CHUF), Ferrol, España. 13. Unidad de Endocrinología y Nutrición, Hospital General de Segovia, Segovia, España. 14. Servicio de Endocrinología y Nutrición, HCUva, Centro Investigación Endocrinologia y Nutrición Uva, Valladolid, España. 15. Servicio de Endocrinología y Nutrición. Hospital Universitario Virgen de las Nieves, Granada, España.
Abstract
OBJECTIVE: To provide practical recommendations for the evaluation and management of hypoglycemia in patients with diabetes mellitus. PARTICIPANTS: Members of the Diabetes Mellitus Working Group of the Spanish Society of Endocrinology and Nutrition (SEEN). METHODS: The recommendations were made based on the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system to establish both the strength of the recommendations and the level of evidence. A systematic search was made in MEDLINE (PubMed) for the available evidence on each subject, and articles written in English and Spanish with an inclusion date up to 28 February 2020 were reviewed. This executive summary takes account of the evidence incorporated since 2013. CONCLUSIONS: The document establishes practical evidence-based recommendations regarding the evaluation and management of hypoglycemia in patients with diabetes mellitus.
OBJECTIVE: To provide practical recommendations for the evaluation and management of hypoglycemia in patients with diabetes mellitus. PARTICIPANTS: Members of the Diabetes Mellitus Working Group of the Spanish Society of Endocrinology and Nutrition (SEEN). METHODS: The recommendations were made based on the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system to establish both the strength of the recommendations and the level of evidence. A systematic search was made in MEDLINE (PubMed) for the available evidence on each subject, and articles written in English and Spanish with an inclusion date up to 28 February 2020 were reviewed. This executive summary takes account of the evidence incorporated since 2013. CONCLUSIONS: The document establishes practical evidence-based recommendations regarding the evaluation and management of hypoglycemia in patients with diabetes mellitus.