Severe hypoglycaemia in drug-treated diabetic patients needs attention: A population-based study
| العنوان: | Severe hypoglycaemia in drug-treated diabetic patients needs attention: A population-based study |
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| المؤلفون: | Timo Sane, Outi Elonheimo, Mikko Honkasalo |
| المصدر: | Scandinavian Journal of Primary Health Care. 29:165-170 |
| بيانات النشر: | Informa UK Limited, 2011. |
| سنة النشر: | 2011 |
| مصطلحات موضوعية: | Adult, medicine.medical_specialty, 030209 endocrinology & metabolism, Type 2 diabetes, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Recurrence, Risk Factors, Surveys and Questionnaires, Diabetes mellitus, Internal medicine, Humans, Hypoglycemic Agents, Insulin, Medicine, Registries, 030212 general & internal medicine, Depression (differential diagnoses), Aged, Retrospective Studies, Type 1 diabetes, business.industry, Incidence (epidemiology), Medical record, Public Health, Environmental and Occupational Health, Retrospective cohort study, Middle Aged, medicine.disease, Hypoglycemia, 3. Good health, Surgery, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Insulin Coma, Original Article, Self Report, Emergencies, business, Cohort study |
| الوصف: | Objective. To study one-year incidence and risk factors of severe hypoglycaemias (SH) in adult drug-treated diabetic patients living in two Finnish communities. Design. The episodes of SH and their risk factors were identifi ed from local ambulance registers, from the databases of local health care units, and from patient questionnaires. Setting. The target population consisted of all drug-treated diabetic patients from the two middle-sized communities in southern Finland, altogether 1776 patients. The study was retrospective. Subjects. A total of 1469 patients (82.7% of the target population) gave informed consent for the use of their medical records and 1325 patients (74.6% of the target population) returned the detailed 36-item questionnaire. Results. Of type 1 and type 2 insulin-treated diabetic patients, 14.6% and 1.0%, respectively, needed ambulance or emergency room care (incidence of 30.5 and 3.0 per 100 patient years). However, 31.0% of type 1 and 12.3% of type 2 diabetic patients reported at least one episode of SH (incidence of 72.0 and 27.0 per 100 patient years). Of all insulin-treated patients, 53 (7.8%) reported three or more episodes of SH. Signifi cant independent risk factors for SH were depression, daily exercise, and nephropathy but not glycaemic control. Conclusion. The incidence of SH was high in both types of insulin-treated diabetic patients. However, the recurrent episodes of SH were clustered in a small minority of insulin-treated patients with diabetes. The risk of SH should be considered when assessing the treatment target for an individual diabetic patient. |
| تدمد: | 1502-7724 0281-3432 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::572b1b0c31a1c6cdbae2a27a3956bf7cTest https://doi.org/10.3109/02813432.2011.580090Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....572b1b0c31a1c6cdbae2a27a3956bf7c |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15027724 02813432 |
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