What do I do if my patient with diabetes is at the end of their life?

  • The aim in the final days of life is to avoid hypoglycaemia, symptomatic hyperglycaemia, diabetic ketoacidosis or hyperglycaemic hyperosmolar state
  • Aim capillary blood glucose (CBG) 8 - 15mmol/L
  • Contact the diabetes team if
    • you have concerns about a patient with diabetes at the end of life
    • if they are continuing on insulin

Please use the flowchart from these guidelines - this can be found in Appendix 6, page 25 of 'Diabetes at the Front Door: A guideline for dealing with glucose related emergencies at the time of acute hospital admission from the Joint British Diabetes Society (JBDS) for Inpatient Care Group'- click here to view this