Prevalence of hypoglycemia identified by intensive bedside glucose monitoring among hospitalized patients with diabetes mellitus (住院的糖尿病患者强化床边血糖监测检出的低血糖患病率)

Bi, Yan; Yan, Jinhua; Tang, Weili; Yang, Jin

doi:10.1111/1753-0407.12048

Cited by 3 publications

(4 citation statements)

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“…In our study, 95 of 169 (56.2%) participants reported hypoglycemia at least once during 3 days of CGM. Most episodes of hypoglycemia occurred during the nighttime, which was similar to our previous report in type 2 diabetes [12]. The increase in nocturnal hypoglycemia may be due to an attenuated awareness of discomfort and rarely performed self-monitoring of blood glucose [13].…”

Section: Discussionsupporting

confidence: 86%

Value of Capillary Glucose Profiles in Assessing Risk of Nocturnal Hypoglycemia in Type 1 Diabetes Based on Continuous Glucose Monitoring

Ling

Lü

et al. 2020

Diabetes Ther

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Introduction: This study aimed to evaluate the occurrence of nocturnal hypoglycemia in type 1 diabetes (T1D) based on continuous glucose monitoring (CGM), and to explore the value of capillary glucose profiles in assessing the risk of nocturnal hypoglycemia. The study also intended to develop a predictive model to identify people with high risk of nocturnal hypoglycemia. Methods: A total of 169 participants with T1D received 3 days of blinded CGM; meanwhile, their self-monitoring blood glucose (SMBG) profiles were recorded. Logistic regression Qing Ling and Jing Lu contributed equally to the manuscript.

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Section: Discussionsupporting

confidence: 86%

Value of Capillary Glucose Profiles in Assessing Risk of Nocturnal Hypoglycemia in Type 1 Diabetes Based on Continuous Glucose Monitoring

Ling

Lü

et al. 2020

Diabetes Ther

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“…When the bedtime BG was below 6 mmol/L, the risk of nocturnal hypoglycemia was 80% (29). It was reported that 14.9% of diabetic patients experienced nocturnal hypoglycemia during hospitalization in China (25). Therefore, the monitoring of bedtime BG needs to be enhanced to prevent hypoglycemia.…”

Section: Discussionmentioning

confidence: 99%

“…In our study, the rate of hypoglycemia was 3.97%, which was lower than ( 17 – 19 , 23 ) or similar ( 21 , 24 ) to that in previous studies worldwide. Intensive insulin therapy may be the major cause of hypoglycemia ( 25 ). Considering the high frequency of hyperglycemia, the low incidence of hypoglycemia may not be an optimistic outcome but a consequence of loose glycemic control.…”

Section: Discussionmentioning

confidence: 99%

Investigation of Daily Glucose Profile of Inpatients in Non-endocrinology Departments in Chinese Population

Sun

Gui

Huang

et al. 2020

Front. Public Health

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Background: Inpatient hyperglycemia is associated with poor prognosis and increased hospitalization expenses. China has a large population of inpatients with hyperglycemia, but their glucose monitoring states (including preprandial, postprandial and bedtime glucose) are unknown, especially in non-endocrinology departments. Methods: In this cross-sectional study, 5,790 patients with hyperglycemia from 31 non-endocrinology departments were enrolled, and a total of 1,22,032 point-of-care blood glucose (POC-BG) records were collected. The "patient-day" unit of measure was used as a metric for the inpatient glucose. A total of 2,763 patients from endocrinology wards were included for the comparison of the improvement of glycemic management during hospitalization in non-endocrinology wards. Results: A total of 61.16% of patient-days had <4 POC-BG tests. Postprandial POC-BG was tested significantly less frequently than preprandial POC-BG (10.60% vs. 58.85% of all records, P < 0.001). The patient-day-weighted mean BG was higher in non-ICU wards than in the ICU (9.72 ± 3.37 vs. 9.00 ± 3.19 mmol/L, P < 0.001). The rate of hyperglycemia (BG >10 mmol/L) was 37.60% in all non-endocrinology wards (ICU vs. non-ICU: 33.19% vs. 39.17%, P < 0.001). In non-ICU wards, the rate of hyperglycemia (BG >10 mmol/L) was significantly higher in surgical wards than in medical wards (40.30% vs. 36.90%, P < 0.001). ICU had a significantly higher rate of achieving the blood glucose target than the non-ICU wards (32.50% vs. 26.38%, P < 0.001). In the non-ICU departments, medical wards had higher rate of achieving the blood glucose target than surgical wards (39.70% vs. 19.08%, P < 0.001). With increasing days of hospitalization, there was no improvement in glycemic control in non-endocrinology wards. The ICU had a significantly higher rate of hypoglycemia than non-ICU wards (4.62% vs. 3.73%, P < 0.05). In non-ICU wards, medical wards had a significantly higher rate of hypoglycemia than surgical wards (5.71% vs. 2.75%, P < 0.05). Conclusions: Both the frequency of BG monitoring and the daily glucose profile of inpatients in Chinese non-endocrinology departments were less than ideal and need to be urgently improved.

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“…Due to the obvious specificity of the measurement and reporting methods of hypoglycemia, based on the cross‐sectional study design, the incidence of hypoglycemia in hospitalized diabetes patients was calculated as 46% (Bi et al, 2013 ), with an allowable error of 0.05 to estimate the sample size, and the estimated minimum sample size was 265 cases. Considering the potential loss in the evaluation process, a 40% increase is required, so the final sample size required was 371.…”

Section: Methodsmentioning

confidence: 99%

Clinical characteristics and influencing factors of hypoglycemia in hospitalized patients with type 2 diabetes mellitus: A cross‐sectional study

Zhao

et al. 2023

Nursing Open

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AimAnalysed clinical characteristics and influencing factors for hypoglycemia in hospitalized patients with type 2 diabetes mellitus (T2DM), and providing a scientific reference for precision nursing care of hypoglycemia in hospitalized patients with T2DM.DesignA cross‐sectional study.MethodsThis study involved 378 hospitalized patients diagnosed with T2DM who have suffered hypoglycemia. Through questionnaires and electronic medical records to obtain the data concerning the general information, clinical symptoms, all recorded blood glucose information, and the diabetes knowledge and self‐management level of the patients. The clinical characteristics and influencing factors for hypoglycemia were analysed on the basis of the classification of hypoglycemia published by the American Diabetes Association in 2020.ResultsAmong 378 patients, 207 patients (54.76%) were experiencing Grade 1 hypoglycemia and 171 patients (45.24%) were experiencing Grade 2 hypoglycemia. Hypoglycemia and Grade 2 hypoglycemia in patients with T2DM occurred predominantly within the first 3 days of hospitalization. Hypoglycemia occurred most frequently after breakfast (74 cases, 19.6%), of which Grade 1 hypoglycemia and Grade 2 hypoglycemia accounted for 50%, respectively. Multivariable logistic regression identified risk factors for Grade 2 hypoglycemia in hospitalized patients with type 2 diabetes: older age, longer duration of diabetes, low body weight, diabetic nephropathy stages 4–5, diabetic autonomic neuropathy, inadequate self‐management ability and diabetes knowledge, and lower educational background.ConclusionsHypoglycemia in type 2 diabetes occurs in the first 3 days during the hospitalization and most often after breakfast during the full day. Identifying high‐risk individuals and providing a scientific reference for precision nursing care of hypoglycemia in hospitalized patients with T2DM.

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Prevalence of hypoglycemia identified by intensive bedside glucose monitoring among hospitalized patients with diabetes mellitus (住院的糖尿病患者强化床边血糖监测检出的低血糖患病率)

Cited by 3 publications

References 4 publications

Value of Capillary Glucose Profiles in Assessing Risk of Nocturnal Hypoglycemia in Type 1 Diabetes Based on Continuous Glucose Monitoring

Value of Capillary Glucose Profiles in Assessing Risk of Nocturnal Hypoglycemia in Type 1 Diabetes Based on Continuous Glucose Monitoring

Investigation of Daily Glucose Profile of Inpatients in Non-endocrinology Departments in Chinese Population

Clinical characteristics and influencing factors of hypoglycemia in hospitalized patients with type 2 diabetes mellitus: A cross‐sectional study

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