Knowledge of hypoglycemia and its associated factors among type 2 diabetes mellitus patients in a Tertiary Care Hospital in South India

Shriraam, Vanishree; Mahadevan, Shriraam; Anitharani, M; Jagadeesh, Nalini Sirala; Kurup, Sreelekha Bhaskara; Vidya, T A; Seshadri, Krishna G

doi:10.4103/2230-8210.152779

Cited by 37 publications

(48 citation statements)

References 13 publications

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“…The findings showed thatout 60 samples, 38 (63.33%) had inadequate knowledge, 12(20%) of them had moderately adequate knowledge, and 10(16.67%) of them had adequate knowledge. The findings are consistent with the study conducted by Shriraam et al and found that that 66.1% of diabetic patients had good knowledge on hypoglycemia; however, educational status of the client is associated with the level of knowledge [18]. The study by Pai and George revealed that 54% had average awareness about symptoms of hypoglycemia and 49% patients preferred taking glucose powder or sugar with water as an immediate measure and also the awareness was higher among literate subjects about hypoglycemia symptoms [19].…”

Section: Discussionsupporting

confidence: 92%

Knowledge on Hypoglycemia Among Patients With Diabetes Mellitus.

Vijayalakshmi

2018

Asian J Pharm Clin Res

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Objective: The objective of the study is to assess the level of knowledge on hypoglycemia among patients with diabetes mellitus in the rural community. Hypoglycemia is an acute complication of diabetes mellitus. The recognition of hypoglycemia and immediate treatment of hypoglycemia should be known by all the diabetic patients so that treatment of hypoglycemia may not be delayed, need for hospitalization could be avoided, and life-threatening complications due to hypoglycemia may be prevented. Methods:A cross-sectional research design was adopted with 60 samples who met the inclusion criteria in the rural community in India. Structured interview method was used to collect the data. Data were analyzed by descriptive and inferential statistics.Result: Of 60 samples, 38 (63.33%) had inadequate knowledge, 12 (20%) of them had moderately adequate knowledge, and 10 (16.67%) of them had adequate knowledge. There is a significant association between the age and type of treatment at the level of p<0.05 with the level of knowledge on hypoglycemia. Conclusion:The study findings emphasized that majority of the patients with diabetes mellitus do not have the knowledge on hypoglycemia. The health-care professional has an important role in educating diabetics on hypoglycemia so that hypoglycemic episodes and morbidity could be reduced or prevented.

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Section: Discussionsupporting

confidence: 92%

Knowledge on Hypoglycemia Among Patients With Diabetes Mellitus.

Vijayalakshmi

2018

Asian J Pharm Clin Res

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“…Part of the study has already been published in which the knowledge of diabetic patients on hypoglycemia has been discussed. [11]…”

Section: Methodsmentioning

confidence: 99%

Reported hypoglycemia in Type 2 diabetes mellitus patients: Prevalence and practices-a hospital-based study

Shriraam

Mahadevan

Anitharani

et al. 2017

Indian J Endocr Metab

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Introduction:Hypoglycemia tops the list of hurdles in preventing tight glycemic control in diabetic patients. It is even considered as a cardiovascular risk factor. However, it continues to be a neglected complication with very limited epidemiological data in our country.Aim:To study the self-reported prevalence of hypoglycemia among type 2 diabetic patients and the practices adopted by them during and after the episodes to manage and avert future occurrences.Materials and Methods:It is a questionnaire-based cross-sectional study done using systematic random sampling selecting every 5th patient attending the diabetic Out-Patient (OP) in a tertiary medical college hospital.Results:There were 366 participants with median age of 60 years. Around 96% reported any one symptom of hypoglycemia, but 78% had eaten following the episode and got relieved of the symptoms. Weakness (76.2%) and dizziness (74%) were the most common symptoms reported by the patients. A quarter of them reported having severe attacks requiring somebody's assistance. Most patients resorted to timely meals (85%) to avert future attacks. Patients who took insulin along with oral hypoglycemic agents (OHAs) were at a higher risk (OR = 2.3) for hypoglycemia compared to patients taking only OHAs (P < 0.01).Conclusion:The reported prevalence of hypoglycemia among type 2 diabetes patients is quite high. This finding reiterates the importance of enquiring and educating every diabetic patient about hypoglycemic episodes during every health visit.

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“…21 In the current study, the level of knowledge of the definition and symptoms of hypoglycaemia was similar to previously reported findings among diabetic individuals. 19,22 This may be because such patients have individualised BG targets, greater experience with BG monitoring or have received patient education on this topic. 23 Fear of hypoglycaemia can have major clinical repercussions for DM management.…”

Section: Discussionmentioning

confidence: 99%

Hypoglycaemia Among Insulin-Treated Patients with Diabetes: Evaluation of the United Arab Emirates cohort of the International Operations-Hypoglycaemia Assessment Tool study

Abusnana

Beshyah

Al-Mutawa

et al. 2019

Sultan Qaboos Univ Med J

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Objectives: This study aimed to evaluate the incidence of hypoglycaemia among insulin-treated patients with type 1 diabetes mellitus (T1DM) or type 2 diabetes mellitus (T2DM) from the United Arab Emirates (UAE) cohort of the non-interventional International Operations-Hypoglycaemia Assessment Tool study. Methods: This cross-sectional observational study took place at 25 patient care centres in the UAE from October 2014 to May 2015. All adult patients with T1DM or T2DM who had been treated with insulin for >12 months were included. Self-assessment questionnaires and patient diaries were used to determine the incidence of documented hypoglycaemia both prospectively (four weeks after baseline) and retrospectively (six months and four weeks before baseline for severe and non-severe hypoglycaemic events, respectively). Results: A total of 325 patients were enrolled in the study, of which 82 (25.2%) had T1DM and 243 (74.8%) had T2DM. Among patients with T1DM, 71.4% reported hypoglycaemic events retrospectively, with an incidence rate (IR) of 102.8 events per patient-year (PY), while 95% reported hypoglycaemic events prospectively, with an IR of 63.1 events per PY. Additionally, 56.3% of patients with T2DM reported hypoglycaemic events retrospectively, with an IR of 42.2 events per PY, while 91.9% reported hypoglycaemic events prospectively, with an IR of 33.3 events per PY. Conclusion: The prevalence and incidence of hypoglycaemia were high among insulin-treated patients with T1DM and T2DM in the UAE. Individualised glycaemic goals, patient education and blood glucose monitoring may help to reduce the incidence of hypoglycaemia in this population.Keywords: Hypoglycemia; Insulin; Type 1 Diabetes Mellitus; Type 2 Diabetes Mellitus; United Arab Emirates.

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Knowledge of hypoglycemia and its associated factors among type 2 diabetes mellitus patients in a Tertiary Care Hospital in South India

Cited by 37 publications

References 13 publications

Knowledge on Hypoglycemia Among Patients With Diabetes Mellitus.

Knowledge on Hypoglycemia Among Patients With Diabetes Mellitus.

Reported hypoglycemia in Type 2 diabetes mellitus patients: Prevalence and practices-a hospital-based study

Hypoglycaemia Among Insulin-Treated Patients with Diabetes: Evaluation of the United Arab Emirates cohort of the International Operations-Hypoglycaemia Assessment Tool study

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