Tỉ lệ hạ đường huyết không triệu chứng trên người cao tuổi đái tháo đường típ 2 nằm viện tại Bệnh viện Qận 2

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Tác giả: Thái Thanh Thảo Lê, Hồng Hà Nguyễn, Thị Lệ Nguyễn, Kim Thanh Từ

Ngôn ngữ: vie

Ký hiệu phân loại: 616.462 Diabetes mellitus

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2023

Mô tả vật lý: 63-67

Bộ sưu tập: Metadata

ID: 502370

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Factors related to severe hypoglycemia in elderly people with type 2 diabetes were researched by using a continuous glucose monitoring system (CGMS) in order to better control blood sugar and limit hypoglycemic attacks without any symptoms in hematology. Objective: A survey of factors related to severe hypoglycemia in elderly people with type 2 diabetes hospitalized at District 2 Hospital in 2016-2018 was conducted. Materials and methods: Descriptive, cross-sectional and prospective research on 82 elderly inpatients with type 2 diabetes at District 2 Hospital were conducted. Results: In our study, It was noted that of 45 patients with hypoglycemia, 28 patients had mild hypoglycemia (62.2%), 17 patients had severe hypoglycemia (33.3%). Factors related to severe hypoglycemia in elderly people with type 2 diabetes includes rapid-acting insulin injection (58.8%), skipping dinner (15.6%), skipping dinner (15.6%), and gradually increasing medication (82,4%). Conclusion: Factors related to patients with hypoglycemia include rapid-acting insulin injection (58.8%), skipping dinner (15.6%), skipping dinner (15.6%), and gradually increasing medication. (82.4%) (P<
0.001). Factors not related to severe hypoglycemia include age, gender, duration of diabetes, HbA1c, infection, total daily insulin requirements, kidney failure, liver failure.Nghiên cứu các yếu tố liên quan hạ đường huyết nặng trên người cao tuổi đái tháo đường típ 2 bằng hệ thống theo dõi đường huyết liên tục (CGMS) nhằm kiểm soát đường huyết tốt hơn và hạn chế những cơn hạ đường huyết không triệu chứng. Mục tiêu: Khảo sát yếu tố liên quan hạ đường huyết nặng trên người cao tuổi đái tháo đường típ 2 nằm viện tại Bệnh viện Quận 2 năm 2016-2018. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả, cắt ngang và tiến cứu trên 82 bệnh nhân người cao tuổi đái tháo đường típ 2 điều trị nội trú tại Bệnh viện Quận 2. Kết quả: Trong nghiên cứu của chúng tôi ghi nhận trong 45 bệnh nhân bị hạ đường huyết có 28 bệnh nhân bị hạ đường huyết nhẹ (62,2%), 17 bệnh nhân có cơn hạ đường huyết nặng (33,3%).Các yếu tố có liên quan đến hạ đường huyết nặng ở người cao tuổi đái tháo đường típ 2 bao gồm tiêm thêm Insulin nhanh (58,8%), bỏ ăn trưa (15,6%), bỏ ăn chiều (15,6%), tăng liều thuốc (82,4%). Kết luận: Các yếu tố liên quan đến bệnh nhân hạ đường huyết bao gồm tiêm thêm Insulin nhanh (58,8%), bỏ ăn trưa (15,6%), bỏ ăn chiều (15,6%), tăng liều thuốc (82,4%) (P<
0,001). Yếu tố không liên quan đến hạ đường huyết nặng bao gồm tuổi, giới tính, thời gian mắc bệnh ĐTĐ, HbA1c, nhiễm trùng, tổng liều Insulin ngày, suy thận, suy gan.

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