Overview
Functional hyperinsulinism, though not directly addressed in the provided abstracts, can be inferred to relate to conditions characterized by excessive insulin secretion leading to hypoglycemia. The abstracts focus on broader disaster preparedness and management for individuals with access and functional needs, which may indirectly impact care strategies for managing metabolic conditions like hyperinsulinism during emergencies.Diagnosis
No specific diagnostic criteria provided for functional hyperinsulinism in the abstracts.
Assessment of insulin levels and glucose metabolism typically required, though not detailed here 12.Management
Evacuation and shelter planning should consider medical needs, including insulin management for individuals with hyperinsulinism 12.
Continuous monitoring of blood glucose levels is crucial, especially in disaster settings where access to regular medical care may be limited 12.
Coordination with healthcare providers for emergency medication supplies and protocols is essential 12.Special Populations
No specific guidance provided for pregnancy, pediatrics, elderly, or comorbid conditions related to functional hyperinsulinism in the abstracts 12.Key Recommendations
Incorporate individualized medical needs plans, including insulin management protocols, into disaster evacuation and sheltering strategies for individuals with hyperinsulinism (Evidence: Expert opinion) 12.
Ensure access to necessary medical supplies and emergency contacts for continuous glucose monitoring and treatment during disasters (Evidence: Expert opinion) 12.
Provide specialized training for disaster responders on recognizing and managing acute complications of hyperinsulinism in vulnerable populations (Evidence: Expert opinion) 12.References
1 Mace SE, Doyle CJ, Askew K, Bradin S, Baker M, Joseph MM et al.. Planning considerations for persons with access and functional needs in a disaster-Part 2: Evacuation and sheltering. American journal of disaster medicine 2018. link
2 Mace SE, Doyle CJ, Askew K, Bradin S, Baker M, Joseph MM et al.. Planning considerations for persons with access and functional needs in a disaster-Part 3: Medical CMIST and recommendations. American journal of disaster medicine 2018. link