 The group at Washington University WSL developed a predictive hypoglycemia risk score. Using current glucose, body weight, creatinine clearance, insulin type and dosing, and oral diabetic therapy, they identified patients at high risk for hypoglycemia and then provided in-person education to the providers of these patients. This resulted in a 68 reduction in severe hypoglycemia blood glucose 40 mgdL. This approach required significant personnel hours and is difficult to replicate in other systems. 