Associated factors of hypoglycemia in type 2 diabetes patient in Bangkhla hospital, Bangkhla district, Checheongsao province
Article Sidebar
Main Article Content
Abstract
Background: Diabetes Mellitus is a common chronic disease which can be found in all regions worldwide and is also a threatening health issue in Thailand. Poorly-controlled patients have poor prognosis and are at high risk of life-threatening complications. One of concerning complications of diabetes mellitus is hypoglycemia. There are about 50 cases of hypoglycemia presented at the emergency department of Bangkhla Hospital in one year. This research studies associated factors of hypoglycemia in type 2 diabetes patients to raise the awareness of the disease and to develop more effective diabetes healthcare procedures. Methodology: The analytical crosssectional study was conducted by using secondary data from the database of type 2 diabetes patients at Bangkhla Hospital from May 2015 to April 2016, with a purpose of searching for associated factors of hypoglycemia in 1969 patient from the database above. The analysis is performed using a multiple logistic regression method and the result is presented in the prevalence rate ratio or odds ratio at confidence interval of 95% (p-value < 0.05) Results: Data were collected the database of 1969 patients at Bangkhla Hospital. It was found that there were 30 patients or 1.52 percent presented with hypoglycemia. The multiple logistic regression analysis using a univariable association method showed an association of female (p-value 0.03) and a creatinine level of more than 2.0 (p-value < 0.01), and when the factors were analyzed using a multivariable association, an association of female (OR: 3.17; 95%CI: 1.19-8.42) and a creatinine level of more than 2.0 (OR: 6.08; 95%CI: 2.38-15.50) was found. Conclusion and recommendation: This research studied associated factors of hypoglycemia in type 2 diabetes patients that were divided into two groups; patients presented with hypoglycemia and patients without hypoglycemia. It was found that there were 1.52 percent of patients presented with hypoglycemia. Although the number might be small but hypoglycemia is a life-threatening condition. Doctors and healthcare providers should pay special attention to diabetes patients with hypoglycemia. It was found that female patients and a creatinine level of more than 2.0 are associated factors of hypoglycemia, as previously reported. Doctors should carefully treat female patients with elevated creatinine levels.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles in this journal are copyrighted by the Royal Thai Army Medical Department and published under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license.
may be read and used for academic purposes, such as teaching, research, or citation, with proper credit given to the author and the journal.
Use or modification of the articles is prohibited without permission.
Statements expressed in the articles are solely the opinions of the authors.
Authors are fully responsible for the content and accuracy of their articles.
Any other republication of the articles requires permission from the journal.
References
World Health Organization (WHO). Global status report on noncommunicable diseases 2014. Geneva:WHO; 2014. P.79-94.
Burden of Disease Research Program Thailand (BOD Thailand). [Regional differences in burden of disease in Thailand 2014]. Nonthaburi: Ministry of Public Health;2014. Thai.
Guettier JM, Gorden P. Hypoglycemia. Endocrinol Metab Clin North Am. 2006;35(4):753-66, viii-ix.
Ben-Ami H, Nagachandran P, Mendelson A, Edoute Y. Druginduced hypoglycemic coma in 102 diabetic patients. Arch Intern Med. 1999;159(3):281-4.
Kearney T, Dang C. Diabetic and endocrine emergencies. Postgrad Med J. 2007 ;83(976):79-86.
Diabetes Control and Complications Trial Research Group; Nathan DM, Genuth S, Lachin J, Cleary P, Crofford O, Davis M, et al. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med. 1993;329(14):977-86.
Duckworth WC, Abraira C, Moritz TE, Davis SN, Emanuele N, Goldman S, et al; Investigators of the VADT. The duration of diabetes affects the response to intensive glucose control in type 2 subjects: the VA Diabetes Trial. J Diabetes Complications. 2011;25(6):355-61.
Shorr RI, Ray WA, Daugherty JR, Griffin MR. Incidence and risk factors for serious hypoglycemia in older persons using insulin or sulfonylureas. Arch Intern Med. 1997 ;157(15):1681-6.
Clustering of long-term complications in families with diabetes in the diabetes control and complications trial. The Diabetes Control and Complications Trial Research Group. Diabetes 1997;46(11):1829-39.
Lin YY, Hsu CW, Sheu WH, Chu SJ, Wu CP, Tsai SH. Risk factors for recurrent hypoglycemia in hospitalized diabetic patients admitted for severe hypoglycemia. Yonsei Med J. 2010;51(3):367-74.
