How do I install the Es Outpatient Hypoglycemia Risk Assessment skill?

Run npx skillmds@latest add dromlakhani/es-outpatient-hypoglycemia-risk-assessment 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 Es Outpatient Hypoglycemia Risk Assessment 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 Es Outpatient Hypoglycemia Risk Assessment?

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 Es Outpatient Hypoglycemia Risk Assessment free to use?

Yes. Installing skills from SkillMD is free, and the skill stays under its author's original license.

Who published Es Outpatient Hypoglycemia Risk Assessment?

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

Es Outpatient Hypoglycemia Risk Assessment by dromlakhani

Name: Es Outpatient Hypoglycemia Risk Assessment
Rating: 4.2 (5 reviews)
Author: dromlakhani

Es Outpatient Hypoglycemia Risk Assessment

Assesses outpatient diabetes patients for high hypoglycemia risk using Table 1 criteria including medications, organ function, age, and history. Triggered by questions such as "Is this outpatient diabetic patient at high risk for hypoglycemia?" or "Should I consider preventive hypoglycemia interventions?"

dromlakhani Updated Sep 8, 2026 10 repo stars

File contents

Outpatient Hypoglycemia Risk Assessment

STEP 1 — Gather Information

Collect medication list (insulin, sulfonylureas, meglitinides), assess renal and hepatic function, age, history of severe hypoglycemia, impaired awareness of hypoglycemia, cognitive impairment, diabetes duration, alcohol use, eating disorders, irregular eating patterns, fasting practices, and endocrine insufficiency.

STEP 2 — Rule In / Rule Out

Determine if any Table 1 high‑risk criterion is present. If yes → proceed to classification; if no → classify as low risk.

STEP 3 — Classify or Stratify

Classify patient as high risk for hypoglycemia if at least one criterion from Table 1 is met; otherwise classify as low risk.

STEP 4 — Decide

If high risk, initiate preventive interventions (e.g., real‑time CGM, structured diabetes education, ensure glucagon availability). If low risk, continue routine monitoring and standard education.

Clinical Guardrails / Mimics / Pitfalls

Do not rely solely on age; impaired awareness of hypoglycemia often requires specific questioning. Avoid assuming low risk in sulfonylurea users without checking renal function. Consider transient risks such as illness, fasting, or medication changes. Do not overlook cognitive impairment or alcohol use as contributors.

Concrete Clinical Example

A 70‑year‑old woman with type 2 diabetes on glimepiride and basal insulin, eGFR 45 mL/min/1.73 m², reports occasional confusion during low glucose episodes → meets medication + renal dysfunction + impaired awareness → high risk → initiate real‑time CGM and structured education.

Source: Management of Individuals With Diabetes at High Risk for Hypoglycemia: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2023, https://doi.org/10.1210/clinem/dgac596

---name: es-outpatient-hypoglycemia-risk-assessmentdescription: Assesses outpatient diabetes patients for high hypoglycemia risk using Table 1 criteria including medications, organ function, age, and history. Triggered by questions such as "Is this outpatient diabetic patient at high risk for hypoglycemia?" or "Should I consider preventive hypoglycemia interventions?"---# Outpatient Hypoglycemia Risk Assessment## STEP 1 — Gather InformationCollect medication list (insulin, sulfonylureas, meglitinides), assess renal and hepatic function, age, history of severe hypoglycemia, impaired awareness of hypoglycemia, cognitive impairment, diabetes duration, alcohol use, eating disorders, irregular eating patterns, fasting practices, and endocrine insufficiency.## STEP 2 — Rule In / Rule OutDetermine if any Table 1 high‑risk criterion is present. If yes → proceed to classification; if no → classify as low risk.## STEP 3 — Classify or StratifyClassify patient as high risk for hypoglycemia if at least one criterion from Table 1 is met; otherwise classify as low risk.## STEP 4 — DecideIf high risk, initiate preventive interventions (e.g., real‑time CGM, structured diabetes education, ensure glucagon availability). If low risk, continue routine monitoring and standard education.## Clinical Guardrails / Mimics / PitfallsDo not rely solely on age; impaired awareness of hypoglycemia often requires specific questioning. Avoid assuming low risk in sulfonylurea users without checking renal function. Consider transient risks such as illness, fasting, or medication changes. Do not overlook cognitive impairment or alcohol use as contributors.## Concrete Clinical ExampleA 70‑year‑old woman with type 2 diabetes on glimepiride and basal insulin, eGFR 45 mL/min/1.73 m², reports occasional confusion during low glucose episodes → meets medication + renal dysfunction + impaired awareness → high risk → initiate real‑time CGM and structured education.**Source:** Management of Individuals With Diabetes at High Risk for Hypoglycemia: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2023, https://doi.org/10.1210/clinem/dgac596

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