open access

Vol 3, No 2 (2014)
Original articles (submitted)
Published online: 2014-05-14
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The prevalence of hypoglycemic symptoms in diabetic patients treated in outpatient conditions

Marek Tłuczykont, Maciej Molsa, Anna Markowicz, Krzysztof Strojek
Diabetologia Kliniczna 2014;3(2):57-61.

open access

Vol 3, No 2 (2014)
Original articles (submitted)
Published online: 2014-05-14

Abstract

Introduction. Patients with diabetes mellitus are at risk of hypoglycaemia, which can lead to irreversible consequences. Objective: to evaluate the prevalence of hypoglycaemia, depending on the type of diabetes, treatment method and plasma glucose control. Material. 263 patients, including 67 with type 1 diabetes mellitus, and 196 with type 2. Mean age 59 ± 16 years, duration 12 ± 9 years, body mass index (BMI) 29 ± 6 kg/m2. Methods. Subjects completed a questionnaire inclu­ding demographic data, information on treatment,  and the occurrence of hypoglycaemia (mild vs. severe). Results. Over the last year, 855 hypoglycaemic episodes occurred in 107 (41%).The incidence of hypoglycaemia is significantly higher in patients with type 1 com­pared to type 2 diabetes (61% vs. 34% respectively, p < 0.001). In patients with type 2 diabetes treated with insulin compared to those treated with oral drugs, hypoglycaemia occurred in a significantly higher num­ber of subjects (66% vs. 20%, p < 0.001). Hypoglyca­emia was reported in a significantly more frequent in type 1 and mean plasma glucose more than 154 mg/dl vs. below 154 mg/dl over the last year (71% vs. 52%, respectively, p < 0,05). Conclusions. The results indicate the need for mo­dification of educational programs and a greater intensification of treatment guidelines, so that plasma glucose control is not obtained at an expense of an increase in the incidence of hypoglycaemia.

Abstract

Introduction. Patients with diabetes mellitus are at risk of hypoglycaemia, which can lead to irreversible consequences. Objective: to evaluate the prevalence of hypoglycaemia, depending on the type of diabetes, treatment method and plasma glucose control. Material. 263 patients, including 67 with type 1 diabetes mellitus, and 196 with type 2. Mean age 59 ± 16 years, duration 12 ± 9 years, body mass index (BMI) 29 ± 6 kg/m2. Methods. Subjects completed a questionnaire inclu­ding demographic data, information on treatment,  and the occurrence of hypoglycaemia (mild vs. severe). Results. Over the last year, 855 hypoglycaemic episodes occurred in 107 (41%).The incidence of hypoglycaemia is significantly higher in patients with type 1 com­pared to type 2 diabetes (61% vs. 34% respectively, p < 0.001). In patients with type 2 diabetes treated with insulin compared to those treated with oral drugs, hypoglycaemia occurred in a significantly higher num­ber of subjects (66% vs. 20%, p < 0.001). Hypoglyca­emia was reported in a significantly more frequent in type 1 and mean plasma glucose more than 154 mg/dl vs. below 154 mg/dl over the last year (71% vs. 52%, respectively, p < 0,05). Conclusions. The results indicate the need for mo­dification of educational programs and a greater intensification of treatment guidelines, so that plasma glucose control is not obtained at an expense of an increase in the incidence of hypoglycaemia.

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Keywords

diabetes, hypoglycemia

About this article
Title

The prevalence of hypoglycemic symptoms in diabetic patients treated in outpatient conditions

Journal

Clinical Diabetology

Issue

Vol 3, No 2 (2014)

Pages

57-61

Published online

2014-05-14

Bibliographic record

Diabetologia Kliniczna 2014;3(2):57-61.

Keywords

diabetes
hypoglycemia

Authors

Marek Tłuczykont
Maciej Molsa
Anna Markowicz
Krzysztof Strojek

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