ISSN: 1859 - 2872
Characteristics of hypoglycemia and related factors in older patients with type 2 diabetes treated at Thanh Nhan Hospital
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Abstract
Objective: To explore characteristics of hypoglycemia and related factors in the elderly with type 2 diabetes treated at Thanh Nhan Hospital. Subject and method: A cross-sectional study on 1215 diabetic patients treated at Thanh Nhan Hospital from November 2018 to May 2019. Subjects were interviewed according to a uniform medical record. Hypoglycemia was diagnosed according to the ADA 2017 criteria: Blood glucose ≤ 3.9mmol/l. Result: The percentage of patients with at least 1 episode of hypoglycemia in the last 6 months was 47.1%. Mild and morderate levels of hypoglycemia accounts for 44.2%, severe hypoglycemia accounts for 2.9%. The longer the duration of diabetes, the treatment of insulin, sulfonylureas or kidney failure significantly increased the rate of hypoglycemia in this population (p<0.05). Age, gender, BMI, HbA1c level were related to hypoglycemia (p>0.05). Conclusion: The rate of hypoglycemia in elderly diabetic patients was quite high in Thanh Nhan Hospital. The longer the duration of diabetes, the treatment of insulin, sulfonylureas or chronic kidney disease stage 3, 4, 5 had higher incidence of hypoglycemia in this population.
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References
2. Nguyễn Thị Hạnh (2014) Tìm hiểu nguyên nhân và kết quả xử trí bước đầu hạ đường huyết ở bệnh nhân đái tháo đường. Khóa luận tốt nghiệp bác sĩ đa khoa. Đại học Y Hà Nội: 30.
3. Cryer P (2016) Hypoglycemia in diabetes: Pathophysiology, prevalence, and prevention. American Diabetes Association.
4. Paweł Piątkiewicz (2016) Hypoglycemia in elderly type 2 diabetes patients. J Clin Diabetes Pract 1: 101. doi:10.4172/JCDP.1000e103.
5. Tsujimoto T, Yamamoto-Honda R, Kajio H et al (2014) Vital signs, QT prolongation, and newly diagnosed cardiovascular disease during severe hypoglycemia in type 1 and type 2 diabetic patients. Diabetes Care 37(1): 217-225. doi:10.2337/dc13-0701.
6. Hope SV (2016) Hypoglycaemia in older people with diabetes. British Journal of General Practice 66(646): 315-322.
7. American Diabetes Association (2018) Standards of Medical Care in Diabetes 2018. Diabetes Care 41(1): 1-2. https://doi.org/10.2337/dc18-Sint01.
8. Melmed, Shlomo (2016) Williams textbook of endocrinology (13ed). Elsevier: 1582-1607. ISBN 978-0-323-29738-7.
8. Group, U.H.S. (2007) Risk of hypoglycaemia in types 1 and 2 diabetes: Effects of treatment modalities and their duration. Diabetologia 50(6): 1140-1147.
10. Whitmer RA, A.K., Yaffe K, Quesenberr CP (2009) Hypoglycemic episodes and risk of dementia in older patients with type 2 diabetes mellitus. Jama 1565.
11. Moen MF, Z.M., Hsu VD, Walker LD, Einhorn LM, Seliger SL, Fink JC (2009) Frequency of hypoglycemia and its significance in chronic kidney disease. Clin. J. Am. Soc. Nephrol 4: 1121–1127. doi: 10.2215/CJN.00800209.
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