The research of the characteristic and some factors relative to the type 2 diabetic patients hospitalized at 108 Military Central Hospital
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Abstract
Objective: To research the characteristic and some factors relative to the type 2 diabetic patients with complications of hypoglycemia hospitalized at 108 Militairy Central Hospital. Subject and method: Descriptive and cross-sectional study 107 hypoglycemic patients hospitalized at 108 Military Central hospital from 4/2020 to 5/2021. Result: The mean age was 74.0 ± 10.6 years. Male/female: 1.3/1. Mean blood glucose was 1.99 ± 0.69mmol/l. Mean hemoglobin A1C was 6.4% ± 1.2%. Diabetes duration ranged over 10 years. Symptomatic patients accounted for 100% and 83.2% patients had neurologic symptoms. The rate of eating disorders/skipping meals was 71%. During the study we found that 89% diabetes melitus patients had hypertension and 66.3% had chronic kidney disease. 50.3% patients had hypoglycemia in the past. Symptomatic patients accounted for 100% and 83.2% patients had neurologic symptoms. The proportion of patients with hypoglycemia due to taking drugs including Insulin was the highest at 53.2% and including sulfunylure was 50.4%. Conclusion: Elderly diabetic patients who were on long term treatment, had renal failure and using Insulin or Sulfonylurea had the risk of hypoglycemia.
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References
2. Lý Đại Lương, Nguyễn Thy Khuê (2011) Các yếu tố gây hạ đường huyết trên bệnh nhân đái tháo đường và tình trạng sống còn sau 03 năm theo dõi. Tạp chí Y học Thành phố Hồ Chí Minh 2011, tập 15, số 1, tr. 235-239.
3. Châu Mỹ Chi (2021) Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và một số yếu tố nguy cơ hạ đường huyết ở bệnh nhân đái tháo đường cao tuổi. Tạp chí Nội tiết và Đái tháo đường, số 46, tr. 96-107.
4. American Diabetes Association (2021) Standards of medical care in Diabetes. Diabetes Care: 2-6.
5. Masahiro FD, Masahiro S, Yoshikazu N, Kouichi M (2015) Survey of hypoglycemia in elderly people with type 2 diabetes mellitus in Japan. J Clin Med Res 7(12): 967-978.
6. Mary G, Betsy M, Jyothi I (2017) Risk factors for hypoglycemia in the elderly: A cross sectional analytical study. Journal of Mahatma Gandhi Institute of Medical Sciences 22(1): 18-21.
7. Bonds DE, Miller ME et al (2010) The association between symptomatic, severe hypoglycemia and mortality in type 2 diabetes: Retrospective epidemiological analysis of the ACCORD Study. BMJ 340: 4909.
8. Holstein A, Plaschke A et al (2003) Clinical characterisation of severe hypoglycemia - a prospective population - based study. Experimental and clinical endocrinology & diabetes 111(6): 364-3698.