Characteristics of the type 2 diabetic patients with hypoglycemia in a tertiary referral hospital
Background. Hypoglycemia is an important complication of the treatment of type 2 diabetes mellitus, which constitutes a barrier in stringent diabetic control. Beside it constitutes nearly 10 % of emergency department admissions that caused by adverse drug events, it may also increase morbidities and...
Guardado en:
Autores principales: | , , , , , , |
---|---|
Formato: | article |
Lenguaje: | EN RU UK |
Publicado: |
Publishing House Zaslavsky
2021
|
Materias: | |
Acceso en línea: | https://doaj.org/article/39f67e6809464a0d826603918f6f0e3c |
Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
id |
oai:doaj.org-article:39f67e6809464a0d826603918f6f0e3c |
---|---|
record_format |
dspace |
spelling |
oai:doaj.org-article:39f67e6809464a0d826603918f6f0e3c2021-11-22T11:26:20ZCharacteristics of the type 2 diabetic patients with hypoglycemia in a tertiary referral hospital2224-07212307-142710.22141/2224-0721.17.6.2021.243209https://doaj.org/article/39f67e6809464a0d826603918f6f0e3c2021-10-01T00:00:00Zhttp://iej.zaslavsky.com.ua/article/view/243209https://doaj.org/toc/2224-0721https://doaj.org/toc/2307-1427Background. Hypoglycemia is an important complication of the treatment of type 2 diabetes mellitus, which constitutes a barrier in stringent diabetic control. Beside it constitutes nearly 10 % of emergency department admissions that caused by adverse drug events, it may also increase morbidities and mortality by inducing, cardiac arrhythmias, neurological impairment and ischemic events. Hypoglycemia is the most common side effect of insulin treatment, however, oral antidiabetic agents may also induce hypoglycemic complications. In present retrospective study, we purposed to observe general characteristics and laboratory data of the type 2 diabetic patients whom presented with mild or moderate/severe hypoglycemia. Materials and methods. Patients with type 2 diabetes mellitus whom presented to our institution with hypoglycemia between January 2019 and January 2020 were retrospectively analyzed. General characteristics and laboratory data of the subjects recorded. Patients grouped into two groups, group I consisted of subjects with mild hypoglycemia and group II consisted of patients with moderate/severe hypoglycemia. Data of the subjects in groups I and II were compared. Results. There were 15 subjects in group I and 23 in group II. HbA1c and other laboratory markers were not significantly different in study groups. Similarly diabetes duration and anti-diabetic treatment were not significantly different in study groups. The rate of geriatric patients was significantly higher in group II compared to group I (p = 0.04). Conclusions. Subjects with moderate/severe hypoglycemia tend to be more frequently in geriatric age and HbA1c not correlates with the degree of the hypoglycemia. Since neither duration of diabetes, nor anti-diabetic treatment were associated with the severity of the hypoglycemia, each case should be evaluated individually to prevent further episodes which could increase morbidity and mortality in diabetic population.Satilmis BilginGulali AktasOzge KurtkulagiBurcin M. AtakGizem KahveciMuhammed E. DemirkolTuba T. DumanPublishing House Zaslavskyarticlehypoglycemia, type 2 diabetes mellitus, glycated hemoglobinDiseases of the endocrine glands. Clinical endocrinologyRC648-665ENRUUKMìžnarodnij Endokrinologìčnij Žurnal, Vol 17, Iss 6, Pp 472-476 (2021) |
institution |
DOAJ |
collection |
DOAJ |
language |
EN RU UK |
topic |
hypoglycemia, type 2 diabetes mellitus, glycated hemoglobin Diseases of the endocrine glands. Clinical endocrinology RC648-665 |
spellingShingle |
hypoglycemia, type 2 diabetes mellitus, glycated hemoglobin Diseases of the endocrine glands. Clinical endocrinology RC648-665 Satilmis Bilgin Gulali Aktas Ozge Kurtkulagi Burcin M. Atak Gizem Kahveci Muhammed E. Demirkol Tuba T. Duman Characteristics of the type 2 diabetic patients with hypoglycemia in a tertiary referral hospital |
description |
Background. Hypoglycemia is an important complication of the treatment of type 2 diabetes mellitus, which constitutes a barrier in stringent diabetic control. Beside it constitutes nearly 10 % of emergency department admissions that caused by adverse drug events, it may also increase morbidities and mortality by inducing, cardiac arrhythmias, neurological impairment and ischemic events. Hypoglycemia is the most common side effect of insulin treatment, however, oral antidiabetic agents may also induce hypoglycemic complications. In present retrospective study, we purposed to observe general characteristics and laboratory data of the type 2 diabetic patients whom presented with mild or moderate/severe hypoglycemia. Materials and methods. Patients with type 2 diabetes mellitus whom presented to our institution with hypoglycemia between January 2019 and January 2020 were retrospectively analyzed. General characteristics and laboratory data of the subjects recorded. Patients grouped into two groups, group I consisted of subjects with mild hypoglycemia and group II consisted of patients with moderate/severe hypoglycemia. Data of the subjects in groups I and II were compared. Results. There were 15 subjects in group I and 23 in group II. HbA1c and other laboratory markers were not significantly different in study groups. Similarly diabetes duration and anti-diabetic treatment were not significantly different in study groups. The rate of geriatric patients was significantly higher in group II compared to group I (p = 0.04). Conclusions. Subjects with moderate/severe hypoglycemia tend to be more frequently in geriatric age and HbA1c not correlates with the degree of the hypoglycemia. Since neither duration of diabetes, nor anti-diabetic treatment were associated with the severity of the hypoglycemia, each case should be evaluated individually to prevent further episodes which could increase morbidity and mortality in diabetic population. |
format |
article |
author |
Satilmis Bilgin Gulali Aktas Ozge Kurtkulagi Burcin M. Atak Gizem Kahveci Muhammed E. Demirkol Tuba T. Duman |
author_facet |
Satilmis Bilgin Gulali Aktas Ozge Kurtkulagi Burcin M. Atak Gizem Kahveci Muhammed E. Demirkol Tuba T. Duman |
author_sort |
Satilmis Bilgin |
title |
Characteristics of the type 2 diabetic patients with hypoglycemia in a tertiary referral hospital |
title_short |
Characteristics of the type 2 diabetic patients with hypoglycemia in a tertiary referral hospital |
title_full |
Characteristics of the type 2 diabetic patients with hypoglycemia in a tertiary referral hospital |
title_fullStr |
Characteristics of the type 2 diabetic patients with hypoglycemia in a tertiary referral hospital |
title_full_unstemmed |
Characteristics of the type 2 diabetic patients with hypoglycemia in a tertiary referral hospital |
title_sort |
characteristics of the type 2 diabetic patients with hypoglycemia in a tertiary referral hospital |
publisher |
Publishing House Zaslavsky |
publishDate |
2021 |
url |
https://doaj.org/article/39f67e6809464a0d826603918f6f0e3c |
work_keys_str_mv |
AT satilmisbilgin characteristicsofthetype2diabeticpatientswithhypoglycemiainatertiaryreferralhospital AT gulaliaktas characteristicsofthetype2diabeticpatientswithhypoglycemiainatertiaryreferralhospital AT ozgekurtkulagi characteristicsofthetype2diabeticpatientswithhypoglycemiainatertiaryreferralhospital AT burcinmatak characteristicsofthetype2diabeticpatientswithhypoglycemiainatertiaryreferralhospital AT gizemkahveci characteristicsofthetype2diabeticpatientswithhypoglycemiainatertiaryreferralhospital AT muhammededemirkol characteristicsofthetype2diabeticpatientswithhypoglycemiainatertiaryreferralhospital AT tubatduman characteristicsofthetype2diabeticpatientswithhypoglycemiainatertiaryreferralhospital |
_version_ |
1718417726146347008 |