How do I install the Endo Cgm Confirmatory Pocbg High Risk Hypoglycemia skill?

Run npx skillmds@latest add dromlakhani/endo-cgm-confirmatory-pocbg-high-risk-hypoglycemia in your terminal (requires Node.js), paste this page's agent-chat prompt into Claude, Cursor, or any MCP-connected agent, or download the SKILL.md file and copy it into your agent's skills directory.

Is Endo Cgm Confirmatory Pocbg High Risk Hypoglycemia safe to use?

This skill has not completed SkillMD's automated safety review yet. Independent scanners report: SkillSpector: PASS, Skill Scanner: PASS. Capability flags: makes network calls. SkillMD never runs a skill's scripts for you; review the SKILL.md before installing.

Which AI agents work with Endo Cgm Confirmatory Pocbg High Risk Hypoglycemia?

This skill is tagged as working with Claude Code, Claude.ai, OpenAI Codex. SKILL.md is an open format, so most agents that read a skills directory can load it too.

Is Endo Cgm Confirmatory Pocbg High Risk Hypoglycemia free to use?

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Who published Endo Cgm Confirmatory Pocbg High Risk Hypoglycemia?

dromlakhani (@dromlakhani) published this skill. Their other Agent Skills are listed on their SkillMD profile.

Endo Cgm Confirmatory Pocbg High Risk Hypoglycemia by dromlakhani

Name: Endo Cgm Confirmatory Pocbg High Risk Hypoglycemia
Rating: 4.2 (5 reviews)
Author: dromlakhani

Endo Cgm Confirmatory Pocbg High Risk Hypoglycemia

Recommends real-time CGM with confirmatory bedside POC-BG monitoring for insulin dosing adjustments rather than POC-BG testing alone in adults with insulin-treated diabetes at high risk of hypoglycemia. Consider this approach for patients aged ≥65 years, BMI ≤27 kg/m², total daily insulin dose ≥0.6 units/kg, CKD stage ≥3, or recent hypoglycemia.

dromlakhani Updated Sep 8, 2026 10 repo stars

File contents

Use CGM with confirmatory POC-BG monitoring for insulin adjustments in high-risk hypoglycemia patients

STEP 1 — Gather Information

Collect age, BMI, total daily insulin dose (units/kg), CKD stage (eGFR), recent hypoglycemia history, and confirm insulin-treated diabetes with noncritical illness hospitalization.

STEP 2 — Rule In / Rule Out

If any of the following are present: age ≥65 years, BMI ≤27 kg/m², total daily insulin dose ≥0.6 units/kg, CKD stage ≥3 (eGFR <60 mL/min/1.73m²), or documented recent hypoglycemia → classify as high risk; otherwise, classify as not high risk.

STEP 3 — Classify or Stratify

If high risk, evaluate hospital availability of CGM devices, training, and protocols; if resources/training are available → select CGM with confirmatory POC-BG monitoring; if not available → select POC-BG testing alone.

STEP 4 — Decide

Implement the selected monitoring strategy to guide insulin dosing adjustments; document glucose trends and adjust insulin accordingly.

Clinical Guardrails / Mimics / Pitfalls

Do not rely solely on CGM without confirmatory POC-BG for insulin dosing; avoid CGM in patients with extensive skin infections, hypoperfusion, hypovolemia, or receiving vasoactive/pressor therapy; beware of medications causing CGM interference (acetaminophen >4 g/day, dopamine, vitamin C, hydroxyurea); ensure CGM resources and training are available before deployment.

Concrete Clinical Example

A 70-year-old woman with type 2 diabetes on basal-bolus insulin admitted for pneumonia (noncritical illness) has age 70, BMI 24, TDD 0.8 units/kg, CKD stage 3b; hospital has CGM resources. Real-time CGM with confirmatory POC-BG is initiated; a trend down triggers a confirmatory POC-BG of 68 mg/dL, leading to basal insulin hold and carbohydrate intake, preventing severe hypoglycemia.

Source: Management of Hyperglycemia in Hospitalized Adult Patients in Non-Critical Care Settings: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2022, https://doi.org/10.1210/clinem/dgac278

TODO: consider adding scripts/calc.py for the endo-cgm-confirmatory-pocbg-high-risk-hypoglycemia calculator

---name: endo-cgm-confirmatory-pocbg-high-risk-hypoglycemiadescription: Recommends real-time CGM with confirmatory bedside POC-BG monitoring for insulin dosing adjustments rather than POC-BG testing alone in adults with insulin-treated diabetes at high risk of hypoglycemia. Consider this approach for patients aged ≥65 years, BMI ≤27 kg/m², total daily insulin dose ≥0.6 units/kg, CKD stage ≥3, or recent hypoglycemia.---# Use CGM with confirmatory POC-BG monitoring for insulin adjustments in high-risk hypoglycemia patients## STEP 1 — Gather InformationCollect age, BMI, total daily insulin dose (units/kg), CKD stage (eGFR), recent hypoglycemia history, and confirm insulin-treated diabetes with noncritical illness hospitalization.## STEP 2 — Rule In / Rule OutIf any of the following are present: age ≥65 years, BMI ≤27 kg/m², total daily insulin dose ≥0.6 units/kg, CKD stage ≥3 (eGFR <60 mL/min/1.73m²), or documented recent hypoglycemia → classify as high risk; otherwise, classify as not high risk.## STEP 3 — Classify or StratifyIf high risk, evaluate hospital availability of CGM devices, training, and protocols; if resources/training are available → select CGM with confirmatory POC-BG monitoring; if not available → select POC-BG testing alone.## STEP 4 — DecideImplement the selected monitoring strategy to guide insulin dosing adjustments; document glucose trends and adjust insulin accordingly.## Clinical Guardrails / Mimics / PitfallsDo not rely solely on CGM without confirmatory POC-BG for insulin dosing; avoid CGM in patients with extensive skin infections, hypoperfusion, hypovolemia, or receiving vasoactive/pressor therapy; beware of medications causing CGM interference (acetaminophen >4 g/day, dopamine, vitamin C, hydroxyurea); ensure CGM resources and training are available before deployment.## Concrete Clinical ExampleA 70-year-old woman with type 2 diabetes on basal-bolus insulin admitted for pneumonia (noncritical illness) has age 70, BMI 24, TDD 0.8 units/kg, CKD stage 3b; hospital has CGM resources. Real-time CGM with confirmatory POC-BG is initiated; a trend down triggers a confirmatory POC-BG of 68 mg/dL, leading to basal insulin hold and carbohydrate intake, preventing severe hypoglycemia.**Source:** Management of Hyperglycemia in Hospitalized Adult Patients in Non-Critical Care Settings: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2022, https://doi.org/10.1210/clinem/dgac278> **TODO:** consider adding scripts/calc.py for the endo-cgm-confirmatory-pocbg-high-risk-hypoglycemia calculator

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