Email UpdatesThe intent of the “Hypoglycemia Rule” is to facilitate next steps in response to occurrence of a hypoglycemic event, or presence of risk factors for hypoglycemia. Actions may include activating a documentation template and order set, facilitating messages to multiple members of the care team.
Artifact Creation and Usage
Leonard Pogach, MD, National Director MedicineVACO, 810 Vermont Ave. NW, Room 662 Washington, DC 20420
Please contact Mr. Apurva Desai Apurva.desai@va.gov for additional information.
Copyright © 2018 Veterans Health Administration, Department of Veterans Affairs. All rights reserved. Contributions from external parties are property of respective copyright holders.
Structured code that is interpretable by a computer (includes data elements, value sets, logic)
- Target User
- Clinical Providers caring for adult patients
- Patient Age Group
- Adult
- Clinical Focus
- Adult outpatient with an active problem of either diabetes mellitus, type 1 or type 2
- Clinical Venue
- Outpatient
- Clinical Venue
- Emergency Department (ED)
- Clinical Venue
- Inpatient hospital
- Clinical Venue
- Urgent care
- Workflow Task
- Care and Management of the Diabetic Patient
THE CLINICAL CONTENT IN THIS DOCUMENT IS NOT DIRECTLY SUITABLE FOR CLINICAL USE AS PRESENTED SINCE IT HAS NOT BEEN TESTED IN A CLINICAL ENVIRONMENT. IT HAS NEVER BEEN PILOTED, NEVER 100% REPRESENTS THE INTENT OF THE CLINICAL SUBJECT MATTER EXPERTS, AND MAY CAUSE HARM IF APPLIED AS-IS. THIS WORK IS MADE AVAILABLE WITHOUT ANY WARRANTY WHATSOEVER, AND WITHOUT CLAIMS, EXPRESSED OR IMPLIED, OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.
See attached resource files for additional details. Department of Veterans Affairs, Veterans Health Administration, Office of Informatics and Information Governance, Clinical Decision Support (CDS) Content and Health Level 7 (HL7)-Compliant Knowledge Artifacts (KNARTs) Eye Care Clinical Content White Paper, VA118-16-D-1008, Task Order VA-118-16-F-1008-0007, June, 2018.
- American Diabetes Association. Diabetes Care. Standards of medical care in diabetes-20172017;40(suppl 1):S1-S135
- http://care.diabetesjournals.org/content/diacare/suppl/2016/12/15/40.Supplement_1.DC1/DC_40_S1_final.pdf
- O'Neil G. V1-High Risk for Hypoglycemia. June 4, 2015 VISN 1 hypoglycemia reminder PowerPoint (Linda Wedemeyer, MD, email communication, July 10, 2017)
- V1_HIGH RISK FOR HYPOGLYCEMIA.PowerPoint.ppt.
- Seaquist ER, Anderson J, Childs B, et al. Hypoglycemia and diabetes: a report of a workgroup of the American Diabetes Association and the Endocrine Society. Diabetes Care. 2013;36(5):1384-1395
- https://doi.org/10.2337/dc12-2480
- U.S. National Libray of Medicine. GLIPIZIDE- glipizide tablet (Actavis Pharma, Inc.). DailyMed Website. Revised June 2015
- https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ad55dfd7-ffb5-478a-aa84-1009fa921e22
- U.S. National Library of Medicine. GLUCAGON- glucagon [Eli Lilly and Company]. DailyMed Website. Revised May 2017
- https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f143db10-e889-41c3-84ed-603a0ab02f61
- U.S. National Library of Medicine. LANTUS- insulin glargine injection, solution, LANTUS SOLOSTAR- insulin glargine injection, solution [sanofi-aventis U.S. LLC]. DailyMed WebsiteRevised August 2015
- https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d5e07a0c-7e14-4756-9152-9fea485d654a
- U.S. National Library of Medicine. LEVEMIR- insulin detemir injection, solution [Novo Nordisk]. DailyMed Website Revised February 2015
- https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d38d65c1-25bf-401d-9c7e-a2c3222da8af
- U.S. National Library of Medicine. NOVOLOG- insulin aspart injection, solution [Novo Nordisk]. DailyMed Website. Revised March 2017
- https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=3a1e73a2-3009-40d0-876c-b4cb2be56fc5
- U.S. Department of Veterans Affairs and U.S. Department of Defense. VA/DoD Clinical Practice Guideline for the Management of Type 2 Diabetes Mellitus in Primary Care, version 5.0—2017. VA/DoD Clinical Practice Guidelines website
- https://www.healthquality.va.gov/guidelines/CD/diabetes/VADoDDMCPGFinal508.pdf
See attached resource files for additional details. Department of Veterans Affairs, Veterans Health Administration, Office of Informatics and Information Governance, Clinical Decision Support (CDS) Content and Health Level 7 (HL7)-Compliant Knowledge Artifacts (KNARTs) Eye Care Clinical Content White Paper, VA118-16-D-1008, Task Order VA-118-16-F-1008-0007, June, 2018.
- American Diabetes Association. Diabetes Care. Standards of medical care in diabetes-20172017;40(suppl 1):S1-S135
- http://care.diabetesjournals.org/content/diacare/suppl/2016/12/15/40.Supplement_1.DC1/DC_40_S1_final.pdf
- O'Neil G. V1-High Risk for Hypoglycemia. June 4, 2015 VISN 1 hypoglycemia reminder PowerPoint (Linda Wedemeyer, MD, email communication, July 10, 2017)
- V1_HIGH RISK FOR HYPOGLYCEMIA.PowerPoint.ppt.
- Seaquist ER, Anderson J, Childs B, et al. Hypoglycemia and diabetes: a report of a workgroup of the American Diabetes Association and the Endocrine Society. Diabetes Care. 2013;36(5):1384-1395
- https://doi.org/10.2337/dc12-2480
- U.S. National Libray of Medicine. GLIPIZIDE- glipizide tablet (Actavis Pharma, Inc.). DailyMed Website. Revised June 2015
- https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ad55dfd7-ffb5-478a-aa84-1009fa921e22
- U.S. National Library of Medicine. GLUCAGON- glucagon [Eli Lilly and Company]. DailyMed Website. Revised May 2017
- https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f143db10-e889-41c3-84ed-603a0ab02f61
- U.S. National Library of Medicine. LANTUS- insulin glargine injection, solution, LANTUS SOLOSTAR- insulin glargine injection, solution [sanofi-aventis U.S. LLC]. DailyMed WebsiteRevised August 2015
- https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d5e07a0c-7e14-4756-9152-9fea485d654a
- U.S. National Library of Medicine. LEVEMIR- insulin detemir injection, solution [Novo Nordisk]. DailyMed Website Revised February 2015
- https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d38d65c1-25bf-401d-9c7e-a2c3222da8af
- U.S. National Library of Medicine. NOVOLOG- insulin aspart injection, solution [Novo Nordisk]. DailyMed Website. Revised March 2017
- https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=3a1e73a2-3009-40d0-876c-b4cb2be56fc5
- U.S. Department of Veterans Affairs and U.S. Department of Defense. VA/DoD Clinical Practice Guideline for the Management of Type 2 Diabetes Mellitus in Primary Care, version 5.0—2017. VA/DoD Clinical Practice Guidelines website
- https://www.healthquality.va.gov/guidelines/CD/diabetes/VADoDDMCPGFinal508.pdf
None