Categories

Volume 7 Issue 2 (February, 2019)

Original Articles

Clinical profile of hypoglycemia in the emergency department
Anurag Srivastava, Sanchika Gupta

Background: Hypoglycemia is one among leading causes for emergency department (ED) visits. The present study was conducted to assess clinical profile of hypoglycemic patients in emergency department. Materials & Methods: 86 patients of hypoglycaemia of both genders were included. Assessment of blood glucose concentration was determined by Accu-Check Gluco-stix. Results: The mean age was 63.1 years, HGT was 42.2, pulse was 89.2 beats per minute, systolic blood pressure was 134.5 mm Hg, diastolic blood pressure was 78.2 mm Hg and GCS was 10.1. Common symptoms were anorexia in 34, fever in 38, LOC in 55, fall in 32, AMS in 16, FND in 4, syncope in 7 and others in 2 cases. Common causes were OHA in 40, OHA+ insulin in 22, insulin in 6, others in 4, skipped meal in 8 and alcohol in 2 cases. The difference was significant (P< 0.05). Conclusion: Hypoglycemia both in association with insulin treatment and with non-insulin glucose-lowering drugs, when severe enough to justify attendance to EDs, represents a remarkable burden for individuals with diabetes, increasing the risk of serious events and adverse outcomes.

 
Html View | Download PDF | Current Issue