Stepwise Approach to Problematic Hypoglycemia in Korea: Educational, Technological, and Transplant Interventions
Impaired awareness of hypoglycemia has been found to be prevalent in 20% to 40% of people with type 1 diabetes. If a similar prevalence exists in Koreans with type 1 diabetes, at a minimum, thousands of people with type 1 diabetes suffer at least one unpredicted episode of severe hypoglycemia per ye...
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| Format: | Article |
| Language: | English |
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Korean Endocrine Society
2017-06-01
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| Series: | Endocrinology and Metabolism |
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| Online Access: | https://e-enm.org/Synapse/Data/PDFData/2008ENM/enm-32-190.pdf |
| _version_ | 1818772285819977728 |
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| author | Sang-Man Jin |
| author_facet | Sang-Man Jin |
| author_sort | Sang-Man Jin |
| collection | DOAJ |
| description | Impaired awareness of hypoglycemia has been found to be prevalent in 20% to 40% of people with type 1 diabetes. If a similar prevalence exists in Koreans with type 1 diabetes, at a minimum, thousands of people with type 1 diabetes suffer at least one unpredicted episode of severe hypoglycemia per year in Korea. For patients with problematic hypoglycemia, an evidence-based stepwise approach was suggested in 2015. The first step is structured education regarding multiple daily injections of an insulin analog, and the second step is adding a technological intervention, such as continuous subcutaneous insulin infusion or real-time continuous glucose monitoring. The next step is a sensor-augmented pump, preferably with a low glucose suspension feature or very frequent contact, and the final step is islet or pancreas transplantation. In Korea, however, none of these treatments are reimbursed by the National Health Insurance, and thus have not been widely implemented. The low prevalence of type 1 diabetes means that Korean physicians are relatively unfamiliar with the new technologies in this field. Therefore, the roles of new technologies and pancreas or islet transplantation in the treatment of problematic hypoglycemia need to be defined in the current clinical setting of Korea. |
| first_indexed | 2024-12-18T10:06:56Z |
| format | Article |
| id | doaj.art-1bb1c6b2c62348a9acc98fdcb584e9ba |
| institution | Directory Open Access Journal |
| issn | 2093-596X 2093-5978 |
| language | English |
| last_indexed | 2024-12-18T10:06:56Z |
| publishDate | 2017-06-01 |
| publisher | Korean Endocrine Society |
| record_format | Article |
| series | Endocrinology and Metabolism |
| spelling | doaj.art-1bb1c6b2c62348a9acc98fdcb584e9ba2022-12-21T21:11:31ZengKorean Endocrine SocietyEndocrinology and Metabolism2093-596X2093-59782017-06-0132219019410.3803/EnM.2017.32.2.190Stepwise Approach to Problematic Hypoglycemia in Korea: Educational, Technological, and Transplant InterventionsSang-Man JinImpaired awareness of hypoglycemia has been found to be prevalent in 20% to 40% of people with type 1 diabetes. If a similar prevalence exists in Koreans with type 1 diabetes, at a minimum, thousands of people with type 1 diabetes suffer at least one unpredicted episode of severe hypoglycemia per year in Korea. For patients with problematic hypoglycemia, an evidence-based stepwise approach was suggested in 2015. The first step is structured education regarding multiple daily injections of an insulin analog, and the second step is adding a technological intervention, such as continuous subcutaneous insulin infusion or real-time continuous glucose monitoring. The next step is a sensor-augmented pump, preferably with a low glucose suspension feature or very frequent contact, and the final step is islet or pancreas transplantation. In Korea, however, none of these treatments are reimbursed by the National Health Insurance, and thus have not been widely implemented. The low prevalence of type 1 diabetes means that Korean physicians are relatively unfamiliar with the new technologies in this field. Therefore, the roles of new technologies and pancreas or islet transplantation in the treatment of problematic hypoglycemia need to be defined in the current clinical setting of Korea.https://e-enm.org/Synapse/Data/PDFData/2008ENM/enm-32-190.pdfHypoglycemiaContinuous glucose monitoringIslets of Langerhans transplantation |
| spellingShingle | Sang-Man Jin Stepwise Approach to Problematic Hypoglycemia in Korea: Educational, Technological, and Transplant Interventions Endocrinology and Metabolism Hypoglycemia Continuous glucose monitoring Islets of Langerhans transplantation |
| title | Stepwise Approach to Problematic Hypoglycemia in Korea: Educational, Technological, and Transplant Interventions |
| title_full | Stepwise Approach to Problematic Hypoglycemia in Korea: Educational, Technological, and Transplant Interventions |
| title_fullStr | Stepwise Approach to Problematic Hypoglycemia in Korea: Educational, Technological, and Transplant Interventions |
| title_full_unstemmed | Stepwise Approach to Problematic Hypoglycemia in Korea: Educational, Technological, and Transplant Interventions |
| title_short | Stepwise Approach to Problematic Hypoglycemia in Korea: Educational, Technological, and Transplant Interventions |
| title_sort | stepwise approach to problematic hypoglycemia in korea educational technological and transplant interventions |
| topic | Hypoglycemia Continuous glucose monitoring Islets of Langerhans transplantation |
| url | https://e-enm.org/Synapse/Data/PDFData/2008ENM/enm-32-190.pdf |
| work_keys_str_mv | AT sangmanjin stepwiseapproachtoproblematichypoglycemiainkoreaeducationaltechnologicalandtransplantinterventions |