Risk of self-reported hypoglycemia in elderly patients with type 2 diabetes
10.3760/cma.j.issn.0254-9026.2023.08.011
- VernacularTitle:老年2型糖尿病患者自我报告低血糖风险的研究
- Author:
Hongmei XU
1
;
Hangqing YU
;
Zhengnan CHENG
;
Chun MU
;
Di BAO
;
Qiuling XING
Author Information
1. 天津医科大学朱宪彝纪念医院护理部，天津市内分泌研究所 国家卫健委激素与发育重点实验室 天津市代谢性疾病重点实验室，天津 300134
- Keywords:
Diabetes mellitus, type 2;
Hypoglycemia;
Risk factors
- From:
Chinese Journal of Geriatrics
2023;42(8):945-951
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the various factors that contribute to self-reported hypoglycemia in elderly patients with type 2 diabetes mellitus.Methods:This is a prospective cohort study that included 1, 010 elderly patients with type 2 diabetes mellitus who were hospitalized in Tianjin Medical University Chu Hsien-I Memorial Hospital from April to September 2019.Patients were selected using the convenient sampling method and were between the ages of 60-90(66.7±5.3)years with a disease course of 0.5-40.0 years.Baseline data was collected through questionnaires and patients were followed up for six months.The study observed self-reported hypoglycemia events and analyzed the influencing factors of self-reported hypoglycemia using logistic regression.Results:Out of the 1, 010 patients who participated in the study, 901(89.2%)completed it.Of those who completed the study, 321(35.6%)reported experiencing hypoglycemia.The median frequency of hypoglycemia was found to be 3(2, 4)times.Several factors were found to be influential in self-reported hypoglycemia in elderly patients with type 2 diabetes.These factors included waist circumference, HbA1c, thiazolidinediones combined with insulin therapy, frequency of hypoglycemia in the past year, blood glucose prevention education, and fear of hypoglycemia.All of these factors had a significant impact on self-reported hypoglycemia(all P<0.05). Conclusions:Medical professionals should prioritize patients who are undergoing thiazolidinediones combined with insulin therapy and frequently experience hypoglycemia.They should address the patients' fear of hypoglycemia and provide them with comprehensive education.
