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New Study Reports that Hypoglycemia Risks are Reduced with Diabetes Self-Management Education and Support

Aug 01, 2019
A new systematic review of evidence published in the August 2019 issue of The Diabetes Educator shows the impact of diabetes education in reducing hypoglycemia events and/or symptoms. The majority of studies within the systematic review, Diabetes Education Impact on Hypoglycemia Outcomes: A Systematic Review of Evidence and Gaps in the Literature, reported that diabetes self-management education and support (DSMES) positively affected hypoglycemia outcomes such as the number of events and reported symptoms. 

“Being informed is certainly a critical component of hypoglycemic risk mitigation, but the evidence in this review demonstrated that interventions that include DSMES have had an  impact on the number and severity of symptoms and events in people with diabetes,” said the project’s methods lead and corresponding author Jan Kavookjian, MBA, Ph.D., FAPhA. “However, the study also revealed that standardized definitions and measures are needed in future research to better compare and understand risk mitigation interventions across studies.” 

Hypoglycemia, an acute and potentially lethal complication of diabetes, arises when blood glucose levels fall below 70 mg/dL. A well-executed and person-centered DSMES program can address the individual’s needs, concerns and preferences as they incorporate and sustain diabetes-related treatment and lifestyle changes into their daily lives. DSMES normally includes risk mitigation strategies so individuals can identify when their blood glucose might be going too low so that management strategies can be implemented in time to prevent detrimental outcomes. 

Participants in the studies retained in the systematic review ranged from age 18 to older adults recruited from outpatient and acute care settings. Among the 14 studies retained, 8 identified significant reductions in hypoglycemia risk outcomes. Additional results demonstrated the importance of family involvement for those with type 2 diabetes. Other measured outcomes positively impacted in retained studies included blood glucose levels, knowledge and attitudes, and quality of life.  

To schedule an interview with the authors, please email Matt Eaton at 

About AADE 
AADE is a multi-disciplinary professional membership organization dedicated to improving diabetes care through innovative education, management and support. With more than 14,000 professional members including nurses, dietitians, pharmacists, exercise specialists, and others, AADE has a vast network of practitioners working with people who have, are affected by or are at risk for diabetes. Learn more at, or visit us on Facebook (American Association of Diabetes Educators), Twitter (@AADEdiabetes) and Instagram (@AADEdiabetes).

About The Diabetes Educator
The Diabetes Educator (TDE) is a peer-reviewed bi-monthly journal from The American Association of Diabetes Educators. The publication services as a reference sources for the science and art of diabetes management, with original articles on diabetes care and education, clinical practice and research.

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