Evidence map›Paper›PMID 31093506›Full record

ArticleJournal of diabetes research2019

Evaluation of Hypoglycemia and Associated Factors among Patients with Type 1 Diabetes on Follow-Up Care at St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.

Halefom Kahsay, Bereket Fantahun, Teshome Nedi, Gebre Teklemariam Demoz

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Article in Journal of diabetes research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Halefom KahsayDepartment of Pharmacy, College of Medicine and Health Sciences, Adigrat University, Adigrat, Ethiopia.ORCID 0000-0003-2348-9446
Bereket FantahunDepartment of Pediatrics, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Teshome NediSchool of Pharmacy, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.ORCID 0000-0003-4567-7042
Gebre Teklemariam DemozSchool of Pharmacy, College of Health Sciences, Aksum University, P.O. Box: 298, Aksum, Ethiopia.ORCID 0000-0002-2534-821X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypoglycemia is one of the most common acute complications of type 1 diabetes mellitus (T1DM). The knowledge of the factors associated with hypoglycemia will help in the prevention and management of the problem. Therefore, this study was conducted to assess hypoglycemia and its associated factors among T1DM patients who attended the diabetes outpatient clinic of St. Paul's Hospital Millennium Medical College (SPHMMC).

methodsA cross-sectional study was conducted at the diabetes clinic of SPHMMC. Data on sociodemographic and clinical characteristics including duration of diabetes, type of insulin they have been taking, the factors associated with hypoglycemia, and the severity stage of hypoglycemia was obtained. Data was collected using a structured questionnaire and chart review. Multivariate logistic regression model was used to identify factors associated with hypoglycemia.

resultOut of the 247 participants who were recruited into the study, 233 (94.3%) of them experienced hypoglycemia. A total of 6.9 events of hypoglycemia per patient per year happened. Particularly, the events were categorized as 3.1 mild events, 2.3 moderate events, and 0.93 severe events of hypoglycemia. Shorter duration of diabetes history (<1 year) was significantly associated with less experience of hypoglycemia (AOR = 0.09, 95% CI: 0.01-0.90). However, blood glucose monitoring at home was found to be significantly associated with more report of hypoglycemia (AOR = 5.77, 95% CI: 1.16-28.66).

conclusionThe prevalence of hypoglycemia among T1DM patients was found as substantially high. Self/family blood glucose monitoring at home could not guarantee to minimize the occurrence of hypoglycemia events. Finger stick home blood glucose monitoring should be given a special attention. Therefore, the involvement of health care providers in diabetes care should be encouraged to address the occurrence of hypoglycemia in T1DM patients.

Indexed as

Academic Medical CentersAdolescentAdultAftercareBlood GlucoseBlood Glucose Self-MonitoringBody Mass IndexChildChild, PreschoolComorbidityContinuity of Patient CareCross-Sectional StudiesDiabetes Mellitus, Type 1EthiopiaFemaleHumansBlood GlucoseInsulin

Identifiers

PMID31093506
PMCPMC6481033

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.