Temporal and Geographic Patterns of Hypoglycemia among Hospitalized Patients with Diabetes Mellitus

Abstract

Background:

Diurnal temporal patterns of hypoglycaemia in hospitalized people with diabetes may reveal potentially correctable factors

“…As far as we are aware, there has been only one previous report, from a small US hospital, of more frequent hypoglycaemia overnight . Our study adds to this evidence, but also suggests that, at least for our hospital, this may be related to an institutional practice that can be addressed.…”

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)

“…Similar findings have been reported in a study from the Mayo Clinic. 5 A relative excess of exogenous or endogenous insulin in relation to time since eating seems a reasonable explana- tion for the hypoglycemia before lunch. The hypoglycemia at night may result from prolonged fasting, the improper use of basal insulin, and a lower response of counter-regulatory hormones.…”

<br /><br /> IMPORTÂNCIA DA GLICEMIA CAPILAR EM DOENTES DIABÉTICOS COM PATOLOGIA AGUDA <br /> IMPORTANCE OF CAPILLARY GLYCEMIA IN DIABETIC PATIENTS WITH ACUTE PATHOLOGY

“…Em doentes com acidente vascular cerebral (AVC) hemorrágico, aqueles que apresentaram uma variação mé-dia de glicemia capilar de 38,7 mg/dl a 62 mg/dl, tiveram pior outcome que aqueles em que a variação média registada foi de 28 mg/dl a 31,7 mg/dl (11) . (14) e que estas podem estar associadas a convulsões, arritmias ou mesmo a situações de paragem cardiorrespiratória (15) .…”