Hypoglucemia in patients with diabetes mellitus in emergency services of two hospitals in Bogotá, 2015-2017
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diabetes mellitus

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Chaves, W., Martínez, L., Díaz, D., Hernández, D., & Sanabria, M. (2019). Hypoglucemia in patients with diabetes mellitus in emergency services of two hospitals in Bogotá, 2015-2017. Revista Colombiana De Endocrinología, Diabetes &Amp; Metabolismo, 6(4), 269–276. https://doi.org/10.53853/encr.6.4.545


Introduction: from a genotypic and phenotypic point of view, the diabetic population is heterogeneous, which makes some special groups more susceptible to complications during treatment. Among these complications, hypoglycemia is a frequent reason for consultation; however, information about episodes of this alteration is limited, especially in Latin America.
Objective: to determine the sociodemographic and clinical characteristics of diabetic patients with hypoglycemia in the emergency services of the San José hospital and the San José University Children´s hospital.
Methodology: retrospective evaluation of a cohort of diabetic patients with hypoglycemia in the emergency services from January 2015 to December 2017. A descriptive analysis of the demographic, clinical and therapeutic factors of this population was made. Data were collected from medical records and characteristics were analyzed using descriptive statistics.
Results: within the data found, 201 patients presented hypoglycemia at admission (12.5%). With a median of 70 years, 85.5% were type 2 diabetics; of these, 99% had insulin management; more frequently they used insulin glargine (58.1%) and insulin glulisine (36.3%). 36.6% used oral medications, mainly biguanides; and the most frequent combination was basal insulin plus short-acting insulin, in 56.7%. The median glucose was 40.5 mg / dL and the glycosylated hemoglobin (HbA1c) test was 6.7%. Mortality found in this population was 7.5%.
Conclusions: the prevalence of hypoglycemia in this study was low. The results suggest that the lack of individualization when choosing treatments and therapeutic objectives, could be related with the increase in episodes of severe hypoglycemia. Therefore, a patient-centered treatment should be performed, considering the presence of previous episodes, the history of cardiovascular disease, associated concomitant diseases, weight, medication costs and age

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