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Hypoglycemia: Elucidating Its Circadian Propensity and Recovery Time Based on Clinical Parameters
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Ravi Kant    , Poonam Yadav , Madhuri Pratti , Shruti Barnwal |
| Center of Excellence in Nursing Education and Research, All India Institute of Medical Sciences, Rishikesh, India , dryadavpoonam257@gmail.com |
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Abstract: (2514 Views) |
Background: Hypoglycemia is frequently associated with insulin therapy in diabetic patients; it leads to many short and long-term complications and even death if not addressed in time. This study was undertaken to observe the circadian propensity of hypoglycemia and its recovery time based on type 2 diabetes mellitus patients’ clinical parameters.
Methods: We included type 2 diabetes mellitus (DM) hospitalized patients with the exclusion of patients suffering from critical illness. Data were collected for a period of three months (September to November 2019).
Results: A total of 120 patients were included, comprising 60% males and 40% females. Approximately 55% of patients had hypoglycemic episodes at around 12 am– 6 am. The most common comorbidity present in these patients was hypertension (43.3%, P=0.931). Anemia (OR-3.765, CI-1.350-5.500, P=0.011), retinopathy (OR 6.066, CI-2.031-8.113, P=0.001), and duration of DM (OR-6.266, CI-2.209-7.774, P=0.001) were significantly associated with the recovery time of hypoglycemia, around 50±14.14min in the elderly population of age 60-70. People with BMI 22.5- 27.5 Kg/m2 took around 45.66 ± 19.37 min to recover after treatment.
Conclusion: Time taken to recover from hypoglycemic episodes vary with age and BMI. Associated comorbidities such as anemia, retinopathy, and DM duration had a significant bearing on the time taken to recover from hypoglycemia. Recovery time was directly proportional to BMI, a new finding that needs further molecular level evaluation. Circadian propensity of hypoglycemia in these patients have been identified in the early morning hours of the day. |
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| Keywords: Anemia, Body mass index, Comorbidity, Diabetes Mellitus, Hypoglycemia, hypoglycemic episode, Insulin, Retinopathy |
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Full-Text [PDF 192 kb]
(669 Downloads)
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Type of Study: Original Article |
Subject:
Endocrinology
Received: 2021/01/2 | Accepted: 2021/02/24 | Published: 2022/01/30
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