The Incidence of Hypoglycemia in Type 2 Diabetes Mellitus Patients | [Pakistan Journal of Medical and Health Sciences • 2022]

Author(s):

1. JALAL KHAN: Department of Medicine, Bolan Medical College, Quetta, Pakistan

2. SYEDDA ALIA HASSAN BUKHARI: Bagh Azad Kashmir AJK,Pakistan

3. ZAHOOR AHMED SHAH: Department of Medicine, Bolan Medical College, Quetta, Pakistan

4. TUBA RASHEED: Bahria University of Health Sciences, Karachi.Pakistan

Abstract:

To estimate the incidence of hypoglycemia in type 2 diabetes mellitus patients. Study design: Cross-sectional analytical study. Place and duration of study: Department of Medicine, Bolan Medical College, Quetta from 1st January 2021 to 30th September 2021. Methodology: One hundred type 2 diabetic patients were enrolled. Each patient complete detail was documented on a wellstructured questionnaire which was also used for assessing the hypoglycemia status using Whipple's triad questionnaire based information. The Whipple triad is an assembly of three criteria named as Whipple's criteria. The most important symptoms which are presented in it are those symptoms which show presentation of hypoglycemia post meal and exercise. Patients were asked for any of the following symptoms or biochemical test results have been noticed in previous 2-3 months and their responses were recorded. Results: There were 64% patients within the age of 40-60 years while 36% were above the age of 60 years. Within the rural, type 2 diabetic patients 89.3% were those who only checked their glucose once in three months. The treatment method which was adapted by majority of the type 2 diabetic patients was use of metformin. Conclusion: Hypoglycemia appeared to be the important determinant of diabetes mellitus and sometime even prove more fatal then hyperglycemia.

Page(s): 140-142

DOI: 10.53350/pjmhs22165140

Published: Journal: Pakistan Journal of Medical and Health Sciences, Volume: 16, Issue: 05, Year: 2022

Keywords:

prevalence , Diabetes Mellitus , Hypoglycemia , Whipple triad , Urban areas

References:

[1] .1993 .insulin-dependent diabetes mellitus. N Engl J Med, 329 : 977-86.

[2] Intensive .1998 .-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). UK Prospective Diabetes Study (UKPDS) Group. Lancet, 352 : 837-853.

[3] Patel A,MacMahon S,Chalmers J .2008 .Intensive blood glucose control and vascular outcomes in patients with type 2 diabetes. N Engl J Med, 358 : 2560-72.

[4] .2009 .Glucose control and vascular complications in veterans with type 2 diabetes. N Engl J Med, 360 : 129-39.

[5] Action to Control ,Gerstein HC,Miller ME .2008 .Effects of intensive glucose lowering in type 2 diabetes. N Engl J Med, 358 : 2545-59.

[6] Seaquist ER,Anderson J,Childs B .2013 .Hypoglycemia and diabetes: a report of a workgroup of the American Diabetes Association and the Endocrine Society. Diabetes Care, 36 : 1384-95.

[7] Inzucchi SE,Bergenstal RM,Buse JB . .Management of hyperglycaemia in type 2 diabetes: a patient-centered approach. , : .

[8] .2012 .. Diabetologia, 55 : 1577-96.

[9] Nathan DM,Buse JB,Davidson MB . .Medical management of hyperglycemia in type 2 diabetes: a consensus algorithm for the initiation and adjustment of therapy: a consensus statement of the 14. , : .

[10] .2009 .American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care, 32 : 193-203.

[11] Rodbard HW,Blonde L,Braithwaite SS .2007 .American Association of Clinical Endocrinologists medical guidelines for clinical practice for the management of diabetes mellitus. Endocr Pract, 13(suppl 1) : 1-68.

[12] Agarwal AA,Jadhav PR,Deshmukh YA .2014 .Prescribing pattern and efficacy of anti-diabetic drugs in maintaining optimal glycemic levels in diabetic patients. J Basic Clin Pharm, 5 : 79-83.

[13] Rushforth B,McCrorie C,Glidewell L,Midgley E,Foy R .2016 .Barriers to effective management of type 2 diabetes in primary care: qualitative systematic review. Br J Gen Pract, 66(643) : e114-27.

[14] Khan MAB,Hashim MJ,King JK,Govender RD,Mustafa H,Al Kaabi H .2020 .Epidemiology of type 2 diabetes - global burden of disease and forecasted trends. J Epidemiol Glob Health, 10(1) : 107-11.

[15] Roglic G. WHO .2016 .Global report on diabetes: A summary. International Journal of Noncommunicable Diseases, 1(1) : 3.

[16] .2018 .The American Association of Clinical Endocrinologists. Ohio River Regional AACE 20th Annual Meeting. July 27-28, : .

[17] .2019 .. Accessed July 19, : .

[18] Miller CD,Phillips LS,Ziemer DC,Gallina DL,Cook CB,El-Kebbi IM .2001 .Hypoglycemia in patients with type 2 diabetes mellitus. Arch Intern Med, 161 : 1653-9.

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