Risk Factors for Recurrent Hypoglycemia in Hospitalized Diabetic Patients Admitted for Severe Hypoglycemia
Yonsei Medical Journal
;
: 367-374, 2010.
Article
in English
| WPRIM
| ID: wpr-40407
ABSTRACT
PURPOSE:
Severe hypoglycemia can result in neural damage, impaired cognitive function, coma, seizures, or death. The decision to admit diabetic patients after initial treatment in the emergency department remains unclear. Our purpose is to identify risk factors for developing recurrent hypoglycemia in diabetic patients admitted for severe hypoglycemia. MATERIALS ANDMETHODS:
We reviewed the records of 233 subjects (92 males, 141 females; mean age, 74.1 +/- 9.8 years) with type 2 diabetes treated at a tertiary care teaching hospital and hospitalized for severe hypoglycemia.RESULTS:
Seventy-four (31.8%) patients were categorized with recurrent hypoglycemia and 159 (68.2%) with non-recurrent. Multivariate logistic regression analysis revealed that patients with loss of a recent meal, coronary artery disease, infection, and poor renal function (lower estimated glomerular filtration rate) were at risk for recurrent hypoglycemia. The use of calcium-channel blockers appeared to be a protective factor for the development of recurrent hypoglycemia.CONCLUSION:
There may be a subset of patients with severe hypoglycemia and certain risk factors for recurrent hypoglycemia that should be admitted.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Coronary Artery Disease
/
Calcium Channel Blockers
/
Logistic Models
/
Multivariate Analysis
/
Retrospective Studies
/
Risk Factors
/
Diabetes Mellitus, Type 2
/
Glomerular Filtration Rate
/
Hospitalization
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Language:
English
Journal:
Yonsei Medical Journal
Year:
2010
Type:
Article
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