Causes and Clinical Presentation of Hypoglycemia in Patients with Low Blood Glucose Admitted to the Emergency Ward

F Sarvghadi; F Yasari

International Journal of Endocrinology and Metabolism

Research Institute for Endocrine Sciences

Current Issue All Issues In Press Search

Journal Information Boards and Committees Indexing and Listing Sources Journal Metrics Open Peer Review (OPR)Publication Ethics and Malpractice Statement Reviewer and AE Registration Form Support Contact Us

APC

Authors Guide Submit Manuscript

Causes and Clinical Presentation of Hypoglycemia in Patients with Low Blood Glucose Admitted to the Emergency Ward

Author(s):

F Sarvghadi^1,*,

F Yasari²

1Department of Internal Medicine, Loghman Hakim General Hospital, Shaheed Beheshti University of Medical Sciences, [email protected], IR.Iran

2Department of Internal Medicine, Loghman Hakim General Hospital, Shaheed Beheshti University of Medical Sciences, IR.Iran

International Journal of Endocrinology and Metabolism:Vol. 5, issue 4; 119-124

Published online:Oct 31, 2007

Article type:Research Article

Received:May 22, 2007

Accepted:Aug 08, 2007

How to Cite:Sarvghadi F, Yasari F. Causes and Clinical Presentation of Hypoglycemia in Patients with Low Blood Glucose Admitted to the Emergency Ward. Int J Endocrinol Metab. 2007;5(4):. doi:

Abstract

Hypoglycemia is a medical emergency with non-specific symptoms and severe side effects. We determined causes and symptoms of hypogly-cemia in patients with low blood glucose admit-ted to the emergency ward; approaches for the prevention in hypoglycemia and side effects are also proposed. Materials and Methods: All patients with symp-toms of hypoglycemia and blood glucose levels below 45 mg/dL admitted to the emergency ward, between 2002-2003, were included in this survey. Initially a questionnaire on demographic information, coexisting disorders and drug his-tory was completed; physical exam was done and then 10 ml of venous sample were obtained for CBC, liver and renal function tests; if indicated, hormonal assay and 72 hour fasting test were done. Results: Eighty-nine patients with mean age of 66.73 ± 14.91 years were included; 53% female and 47% male (P= NS). 86.5% were diabetic and 13.5% nondiabetic (P< 0.001). Common causes of hypoglycemia were: drugs (36.3%), renal failure (23%), sepsis (14.3%) and medical mismanage-ment (11%). The most common symptoms in diabetic and nondiabetic patients were adrener-gic + neurglycopenic 50.6% and 58.3% , neurgly-copenic 46.8% and 41.7% , and adrenergic 2.6% and 0% respectively (P=NS). Conclusion: Drugs were the most common cause of hypoglycemia, although medical misman-agement was observed in 11% of patients. Educa-tion not only for patients but also for medical groups is the basis of prevention. High percent-age of patients had neurglycopenic symptoms due to long duration of diabetes and also old age as an independent risk factor; drugs should hence be used cautiously in old patients, and training physicians especially for geriatric groups is also recommended.

Keywords

Full Text

Full text is available in PDF

Predisposing Factors for Hypoglycemia and Its Relation With Mortality in Critically Ill Patients Undergoing Insulin Therapy in an Intensive Care Unit

Ata Mahmoodpoor,

Hadi Hamishehkar,

Mahammadtaghi Beigmohammadi,

Sarvin Sanaie,

Kamran Shadvar,

Hassan Soleimanpour

,et al.

Mahmoodpoor A, Hamishehkar H, Beigmohammadi M, Sanaie S, Shadvar K, et al. Predisposing Factors for Hypoglycemia and Its Relation With Mortality in Critically Ill Patients Undergoing Insulin Therapy in an Intensive Care Unit. Anesth Pain Med. 2016;6(1):e33849. doi: https://doi.org/10.5812/aapm.33849

15

Aug

2005

Factious Hypoglycemia

MohammadReza Tamadon,

Farhad Malek,

AliReza Soleymani

Tamadon M, Malek F, Soleymani A. Factious Hypoglycemia. koomesh. 2005;6(4):e152075. doi:

31

Jan

2005

Hyperglycemic Crises in Diabetic Patients

GR Omrani,

M Shams,

M Atkhamizadeh,

AE Kitabc

Omrani G, Shams M, Atkhamizadeh M, Kitabc A. Hyperglycemic Crises in Diabetic Patients. Int J Endocrinol Metab. 2005;3(1):. doi:

15

Nov

2004

Survey of the level of diabetes control and some related to it in patients referred to diabetes clinic (Semnan Fatemieh hospital)

Navid Danaei,

Mohammad Reza Tammaddon,

Ahmadreza YazdanBakhsh

Danaei N, Tammaddon MR, YazdanBakhsh A. Survey of the level of diabetes control and some related to it in patients referred to diabetes clinic (Semnan Fatemieh hospital). koomesh. 2004;6(1):e153734. doi:

31

Oct

2011

Metformin Treatment in Hyperglycemic Critically Ill Patients: Another Challenge on the Control of Adverse Outcomes

Yunes Panahi,

Mojtaba Mojtahedzadeh,

Nuria Zekeri,

Fatemeh Beiraghdar,

Mohammad-Reza Khajavi,

Arezo Ahmadi

Panahi Y, Mojtahedzadeh M, Zekeri N, Beiraghdar F, Khajavi M, et al. Metformin Treatment in Hyperglycemic Critically Ill Patients: Another Challenge on the Control of Adverse Outcomes. Iran J Pharm Res. 2011;10(4):e125996. doi: https://doi.org/10.22037/ijpr.2011.1015

Import into EndNote Import into BibTex

Share on

Comments

Number of Comments:0

Cited by

Scopus by DOI: 0
Last Update: 2 weeks ago
Scopus by Title: 0
Last Update: 2 weeks ago
Scopus by Title (Ref): 2
Last Update: 2 weeks ago
CrossRef: 0
Last Update: 5 days ago

Metrics

Ordering Reprints

Articles are published under the Creative Commons license stated on each article. No permission or royalty fee is required for uses permitted by that license. CCC handles optional bulk and customized reprint orders. Any quotation covers production and delivery services only, not copyright permission. > Request Reprints from CCC

Search Relations

Author(s):

F Sarvghadi:[PubMed][Scholar]
F Yasari:[PubMed][Scholar]

Research Institute for Endocrine Sciences

Outlines

Causes and Clinical Presentation of Hypoglycemia in Patients with Low Blood Glucose Admitted to the Emergency Ward

Abstract

Full Text

Similar Articles

Predisposing Factors for Hypoglycemia and Its Relation With Mortality in Critically Ill Patients Undergoing Insulin Therapy in an Intensive Care Unit

Factious Hypoglycemia

Hyperglycemic Crises in Diabetic Patients

Survey of the level of diabetes control and some related to it in patients referred to diabetes clinic (Semnan Fatemieh hospital)

Metformin Treatment in Hyperglycemic Critically Ill Patients: Another Challenge on the Control of Adverse Outcomes

Last Update: 2 weeks ago

Last Update: 2 weeks ago

Last Update: 2 weeks ago

Last Update: 5 days ago