Prevalence of Hypoglycemia Among Patients With Type 2 Diabetes Mellitus in a Rural Health Center in South India
| Autor: | Vanitha Durai, Shriraam Mahadevan, G V Akila, V Samya, Aliya Jasmine, Vanishree Shriraam, T Gayathri, M. Anitha Rani |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty self- reported endocrine system diseases type 2 diabetes mellitus prevalence India rural area 030209 endocrinology & metabolism Comorbidity Hypoglycemia lcsh:Computer applications to medicine. Medical informatics 03 medical and health sciences 0302 clinical medicine Humans Medicine 030212 general & internal medicine Glycemic Community and Home Care business.industry Rural health lcsh:Public aspects of medicine Public Health Environmental and Occupational Health Primary care physician Type 2 Diabetes Mellitus nutritional and metabolic diseases lcsh:RA1-1270 Middle Aged medicine.disease Cross-Sectional Studies Diabetes Mellitus Type 2 Etiology lcsh:R858-859.7 Female Original Article Rural Health Services business Complication Patient education |
| Zdroj: | Journal of Primary Care & Community Health, Vol 10 (2019) Journal of Primary Care & Community Health |
| ISSN: | 2150-1327 |
| Popis: | Introduction: One of the greatest threats to achieving tight glycemic control is hypoglycemia, which can lead to decreased drug compliance, cardiovascular events, and even mortality. There is lack of literature on this complication in the Indian setting. This study will aid the primary care physician to achieve better glycemic control of the diabetic patients and provide patient education to prevent hypoglycemia. Materials and Methods: It was a cross-sectional study in which 390 patients with type 2 diabetes mellitus getting treated in a primary health center were assessed for symptoms of hypoglycemia. Results: Prevalence of hypoglycemia was 57.44% (95% CI 52.48-62.25). Severe hypoglycemia was found in 10.7% of the patients. The first reported symptom of hypoglycemia was dizziness (72.3%). The most common etiological factor leading to hypoglycemia was missing a meal (89.3%). Females were at a significant higher risk of developing hypoglycemia (OR 1.2, 95% CI 1.04-1.3, P < .05). Conclusion: This study has established the high prevalence of self-reported hypoglycaemia in the rural settings where resources are limited to monitor the glucose levels. The high prevalence urges the need for the primary care physicians to enquire about the hypoglycemic symptoms to all diabetic patients at each visit. It is also important to educate these patients about the symptoms of hypoglycemia and the importance of reporting of such symptoms, which will help in adjusting dose and preventing future attacks. |
| Databáze: | OpenAIRE |
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