Patterns of Hyperglycemia in Patients With Type 2 Diabetes Mellitus With or Without Hypertension, Requiring Emergency Care and Hospitalization

Abstract

Background: Hyperglycemia is treatable and preventative cause of both microvascular and macrovascular complications in persons with type 2 diabetes mellitus (T2DM). Hyperglycemia is unequivocally associated with poor outcomes especially in hospitalized patients. The aim of this study therefore is to measure the occurrence of hyperglycemic events particularly in patients with T2DM requiring acute care and subsequent hospitalization with or without hypertension and describe the epidemiological features.

Time series modelling to forecast prehospital EMS demand for diabetic emergencies

“…Lower HbA1c levels are associated with an increased risk of severe hypoglycemia in people with type 1 [ 25 ] and type 2 diabetes [ 26 ]. Seasonal fluctuation has also been reported in hospital attendance and admission for hyperglycemia in people with type 2 diabetes [ 20 ]. The recognition of these season-related patterns may assist short-term organizational resource allocation, such as the increased service provision in the peak months.…”

“…Temporal trends in diabetic emergencies have been investigated at the hospital level [ 19 ] [ 20 ] but trends of demand for prehospital EMS for acute diabetic emergencies have not been reported. The aims of this study were 1) to quantify the temporal trends in utilization of prehospital EMS for acute diabetic emergencies, 2) to model the temporal variation of prehospital diabetic emergencies and 3) to use the model to make short term predictions of future EMS demand for diabetic emergencies.…”