Specialist care
Provide follow-up for referrals relating to hypoglycaemia.
Provide diabetes In-Reach to ED/wards through a dedicated Diabetes Inpatient Team.
Access to psychological referral.
Access to a diabetes specialist nurse helpline during working hours for advice surrounding hypoglycaemia.
When hypoglycaemia becomes unusually problematic or of increased frequency, review should be made of possibly contributory causes and follow-up put in place.
Hospital services
Discharge summaries should be transmitted to the primary health care professional as soon as possible after ED attendance or discharge.
Information on medication changes, pending tests and studies and follow-up needs should be communicated clearly to the primary health professional.
Using a template for discharge summaries is helpful to ensure inclusion of relevant information.
The inpatient team should schedule outpatient follow-up with the appropriate professional (GP, endocrinologist, diabetes nurse specialist) prior to discharge.
Specific education on the detection and management of hypoglycaemia in adults with problems of hypoglycaemia awareness should be offered.
Discharge planning should start at hospital admission and clear diabetes management instructions should be provided at discharge.
When feasible, care systems should support team-based care, and embedded decision support tools to meet patient needs.
All information about treatment and care, including advice on avoiding hypoglycaemia, should take into account age and social factors, language, accessibility, physical, sensory or learning difficulties, and should be ethnically and culturally appropriate.
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