Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
|
pubmed:dateCreated |
1993-6-4
|
pubmed:abstractText |
To estimate the frequency and morbidity of insulin-induced hypoglycaemia, a retrospective survey was undertaken of the frequency of severe hypoglycaemia in 600 randomly selected patients with insulin-treated diabetes who were attending a large diabetic outpatient clinic in a teaching hospital. The resulting morbidity (hypoglycaemia-related injuries, convulsions, and road traffic accidents) was ascertained in 302 patients. One hundred and seventy-five (29.2%) of the 600 patients reported a total of 964 episodes of severe hypoglycaemia in the preceding year, giving an overall frequency for the group of 1.60 episodes patient-1year-1. The frequency of severe hypoglycaemia which was documented in 544 Type 1 (ketosis prone) diabetic patients was double that observed in a subgroup of 56 Type 2 diabetic patients who were being treated with insulin (1.70 vs 0.73 episodes patient-1year-1). In the subset of 302 patients, those who had experienced severe hypoglycaemia had greater morbidity associated with an estimated rate of injury of 0.04 injuries person-1year-1. Twenty (6.6%) patients reported a total of 37 convulsions associated with hypoglycaemia, 5 of which had occurred in the preceding year (0.02 convulsions person-1year-1). Five patients reported road traffic accidents in the preceding year which had been caused by hypoglycaemia. The only reliable predictors of severe hypoglycaemia were a history of previous severe hypoglycaemia (p < 0.001), a history of hypoglycaemia-related injury (p < 0.001) or convulsion (p < 0.001), and the duration of insulin therapy (p < 0.001).(ABSTRACT TRUNCATED AT 250 WORDS)
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Apr
|
pubmed:issn |
0742-3071
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
10
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
238-45
|
pubmed:dateRevised |
2011-11-17
|
pubmed:meshHeading |
pubmed-meshheading:8485955-Accidents,
pubmed-meshheading:8485955-Accidents, Traffic,
pubmed-meshheading:8485955-Adolescent,
pubmed-meshheading:8485955-Adult,
pubmed-meshheading:8485955-Aged,
pubmed-meshheading:8485955-Cohort Studies,
pubmed-meshheading:8485955-Diabetes Mellitus, Type 1,
pubmed-meshheading:8485955-Humans,
pubmed-meshheading:8485955-Hypoglycemia,
pubmed-meshheading:8485955-Insulin,
pubmed-meshheading:8485955-Middle Aged,
pubmed-meshheading:8485955-Morbidity,
pubmed-meshheading:8485955-Questionnaires,
pubmed-meshheading:8485955-Risk Factors,
pubmed-meshheading:8485955-Seizures,
pubmed-meshheading:8485955-Time Factors,
pubmed-meshheading:8485955-Wounds and Injuries
|
pubmed:year |
1993
|
pubmed:articleTitle |
Frequency and morbidity of severe hypoglycaemia in insulin-treated diabetic patients.
|
pubmed:affiliation |
Department of Diabetes, Royal Infirmary, Edinburgh, UK.
|
pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't
|