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KMID : 0388520140260010039
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Nursing Science - Ewha Womans University
2014 Volume.26 No. 1 p.39 ~ p.49
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The Risk Factors of Hypoglycemia for the Patients with Diabetes
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Shin Uoon-Jeong
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Abstract
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Purpose: Intensive treatment regimens including early initiation of insulin treatment are important to prevent late complications in type 2 diabetes. The assumed risk of hypoglycemia is a major barrier to initiation of insulin treatment. We aimed to determine risk factors associated with hypoglycemia during hospitalization with diabetes.
Methods: To assess the relevance of this risk we evaluated the risk factors from previous researches. Using RISS, KISS, CINAHL we identified 13 clinical studies (8 domestic and 5 overseas) studying risk factors and causes of hypoglycemia.
Results: The risk factors of hypoglycemia in clinical studies varied from “Subjects” “Purpose”. Over use of insulin, duration of diabetes, HbA1c(%), nutritional interruption, old ages, hypoglycemia unawareness, type 1 diabetes, infections, excessive exercise, alcoholic, gastrointestinal diseases are important risk factors of hypoglycemia for the patients with diabetes.
Conclusion: The present knowledge of risk factors in hypoglycemia is limited due to the lack of data from the patients with hypoglycemia shock. Long term studies about the patient with mild and moderate hypoglycemia as primary endpoint are needed to clarify the hypoglycemia occurrence for inpatient patients and to classify high risk group of hypoglycemia.
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KEYWORD
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Hypoglycemia, Risk Factors, analyss
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