Profile of hypoglycemia patients admittedin a general hospital with their morbidity and mortality patterns

Author: 
Henna Naqash, Mohammad Hayat Bhat and Parvaiz Ahmad Shah

Objective: The present study was conducted to find the patterns of morbidity & mortality in patients who are admitted with hypoglycaemia in our hospital. It gives us information about the overall profile of such patients in our general hospital. We conducted this study as the trend of hypoglycaemic admissions is not matching the reducing rate of hyperglycaemia admissions.
Methods: In this prospective study, all such patients who were admitted in our medicine ward with hypoglycaemia in Sri Maharaja Hari Singh hospital [SMHS] (associated hospital of Government Medical College, Srinagar) were studied over a period of 10 months. A total of 70 patients were admitted with hypoglycaemia during this time period. These patients were studied for their presenting complaints,residence and gender distribution, diabetes status and complications, comorbidities , diagnoses and length of hospital stay.
Results: A total of 70 patients were admitted with hypoglycaemia during the study period.Out of these, 9 were non diabetic and the rest were diabetic.Among our patients,,we had 36 males and 34 females.The most common cause of admission in these patients withhypoglycaemia was infections ( pneumonias followed by urinary tract infection ), followed by acute on chronic renal failure and seizures.The comorbidity associated with majority of patients was hypertension, chronic kidney disease and anaemia , followed by cardiovascular disease ( in the form of old myocardial infarction)and stroke.10 patients (14.28%) out of 70 died. The most common cause of death was sepsis followed by acute on chronic renal failure and acute exacerbation of COPD ( chronic obstructive pulmonary disease).
Conclusion: Admissions due to hypoglycaemia in patients with diabetes in our hospital are mostly because of infections followed by chronic renal failure.We need to lower the hypoglycaemic events by individualising treatment among patients with diabetes.

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DOI: 
http://dx.doi.org/10.24327/ijcar.2019.19127.3676
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