Hypoglycemia in type 2 diabetes patients treated with insulin: the advantages of continuous glucose monitoring

Aims.  To determine the incidence and risk factors for hypoglycemia in elderly insulin-treated type 2 diabetes mellitus (T2DM) patients by means of continuous glucose monitoring (CGM). Materials and Methods.  We observed seventy-six hospitalized patients with T2DM, aged 65 to 79 years. Treatment w...

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Autores principales: Vadim Valer'evich Klimontov, Alexander Ivanovich Tsiberkin, Olga Nikolaevna Fazullina, Marina Alekseevna Prudnikova, Nadezhda Viktorovna Tyan, Vladimir Iosifovich Konenkov
Formato: article
Lenguaje:EN
RU
Publicado: Endocrinology Research Centre 2014
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Acceso en línea:https://doaj.org/article/ef638791d91b48e9ab15c76d561a4011
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Sumario:Aims.  To determine the incidence and risk factors for hypoglycemia in elderly insulin-treated type 2 diabetes mellitus (T2DM) patients by means of continuous glucose monitoring (CGM). Materials and Methods.  We observed seventy-six hospitalized patients with T2DM, aged 65 to 79 years. Treatment with basal insulin (n=36), premixed insulin (n=12) or basal-bolus insulin regimen (n=28) was followed by metformin (n=44), glimepiride (n=14) and dipeptidyl peptidase-4 inhibitors (n=14). 2-days CGM with retrospective data analysis was performed in all patients. During CGM, three fasting and three 2-h postprandial finger-prick glucose values were obtained daily with portable glucose meter. Results.  Hypoglycemia (identified as blood glucose