News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search

 

Local health research could change international guidelines

28 March 2018

Local health research could change international guidelines


Years of research by Wellington doctors and nurses may see a change in how hypoglycaemia – where blood glucose becomes too low – is treated around the world.

Hypoglycaemia symptoms include fatigue, dizziness, blurred vision and confusion and can be resolved within 10-12 minutes if treated correctly and quickly.

Current international guidelines are to give children 10 grams of glucose, and adults 15 grams, no matter their size. Research from Capital & Coast DHB and the University of Otago Wellington looked at whether this was the best method.

“The guidelines are based on expert opinion, rather than practical first-hand experience and knowledge,” said clinical nurse specialist diabetes Lindsay McTavish (image attached) who conducted the research with Drs Brian Corley, Mark Weatherall, Esko Wiltshire and Jeremy Krebs.

“We carried out four clinical trials over 10 years to try to find whether there is a faster and more effective way to treat hypoglycaemia in children and adults with diabetes.”

The research has found that a weight-based method is the best way of managing a hypoglycaemia event. As such, both Capital & Coast and Hutt Valley DHBs switched to a weight-based approach 10 years ago for children and five years ago for adults.

“The evidence is clear for type 1 diabetes, and there is a subtle difference for type 2. The weight-based protocol is better than the standard dose recommended internationally, but is similar to a bigger fixed dose of 30g of glucose used on CCDHB wards.

“We’ve demonstrated that larger people need more glucose to overcome hypoglycaemic events resolve an event – in contrast to the international guidelines that don’t take a patient’s size into account.

“If reviewed and adopted, these studies could change how hypoglaecemia is treated and managed internationally – giving doctors and patients clearer direction about how to resolve symptoms faster.”

Read more about the clinical trials – study one, study two, study three, and study four.

For our latest news, visit www.ccdhb.org.nz or www.facebook.com/CCDHB


ends

© Scoop Media

 
 
 
Culture Headlines | Health Headlines | Education Headlines

 

Scoop Review Of Books: The Rift by Rachael Craw

Rachael Craw's first series, Spark has been extremely well received by the YA community in both Australia and New Zealand (it has a hashtag, #SparkArmy), and The Rift looks like it’s going to be just as popular. More>>

Porn And Teens Report: 'Wake-Up Call' On Sexuality Education

Family Planning: The Office of Film and Literature Classification’s survey of more than 2000 young people about pornography highlights that sexuality education provides an opportunity for a vital counter-narrative to porn that could reach most young New Zealanders... More>>

ALSO:

Howard Davis: A Brief History of Handel's Messiah

Messiah has become an overworked Christmas tradition as hoary as chestnuts roasting on an open fire, gorging on mince pies and eggnog, and trying to avoid shopping mall Santas like so many spectral inhabitants of Dante's Seventh Circle of Hell. More>>

NZ Film Pioneer Geoff Murphy Dies Age 80

One of the pioneers of the modern New Zealand film industry, he's perhaps best remembered for the highly successful Utu and the road movie with a special place in New Zealanders' affections, Goodbye Pork Pie. More>>

ALSO:

 
 
 
 
 

LATEST HEADLINES

  • CULTURE
  • HEALTH
  • EDUCATION
 
 
  • Wellington
  • Christchurch
  • Auckland