Prevalence and Presentation of Diabetes-Related Hypoglycemia Amongst Persons with Diabetes in a Tertiary Health Instition in Nigeria

Ohenhen Oluwatoyin Abisoye; Uwameiye Oseribhor

doi:doi:10.11648/j.ijde.20200503.11

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Prevalence and Presentation of Diabetes-Related Hypoglycemia Amongst Persons with Diabetes in a Tertiary Health Instition in Nigeria

Ohenhen Oluwatoyin Abisoye, Uwameiye Oseribhor

Published in International Journal of Diabetes and Endocrinology (Volume 5, Issue 3)

Received: 23 November 2019 Accepted: 22 July 2020 Published: 18 August 2020

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Abstract

Background: Hypoglycaemia is the most common acute complication of Diabetes Mellitus and often treatment-limiting, serious adverse effect of intensive diabetes therapy. Although it is preventable, hypoglycaemic episodes, especially if severe or recurrent may result in significant psychosocial dysfunction and lower quality of life. Aim: To determine the prevalence, frequency and timing of diabetes-related hypoglycaemia amongst persons with diabetes mellitus. Methods: This was a cross-sectional observational study involving patients attending the diabetes clinic and selected using systematic random sampling. An interviewer- administered questionnaire was used to obtain socio-demographic characteristics as well as experience of hypoglycaemia in the past 12months and severity graded. Data analysis was performed using SPSS 21.0, IBM SPSS Statistics, New York, USA Result: A total of 216 patients were recruited for the study. Eighty nine patients (41.2%) reported experiencing hypoglycaemia, out of which 46 (51.7%) occurred in the morning before breakfast and 16 (18.0%) experienced severe Hypoglycaemia. Skipped meal (58.4%) and overdose of GLA (31.5%) were the most common recognized causes of hypoglycaemia. Level 1 hypoglycaemia was the commonest grade of hypoglycaemia, while males and those on insulin alone had higher odds of having hypoglycaemia (P=0.059). Conclusion: The reported prevalence of hypoglycaemia amongst persons with diabetes mellitus within the last one year prior to the study was rather high which shows that hypoglycaemia is a common experience amongst type 2 diabetic undergoing management. Continuous patient education on the risks, causes, symptoms, and treatment of hypoglycaemia as well as self-monitoring of blood glucose is recommended for every person with diabetes at every health visits.

Published in	International Journal of Diabetes and Endocrinology (Volume 5, Issue 3) This article belongs to the Special Issue Hypoglycemia in Diabetes
DOI	10.11648/j.ijde.20200503.11
Page(s)	34-40
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Hypoglycaemia, Prevalence, Severity, Glucose Lowering Agent

References

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[16]	Vanishree Shriraam, Shriraam Mahadevan, M. Anitharani, Nalini Sirala Jagadeesh, Sreelekha Bhaskara Kurup, T. A. Vidya, and Krishna G. Seshadri. Reported hypoglycemia in Type 2 diabetes mellitus patients: Prevalence and practices-a hospital-based study. Indian J Endocrinol Metab. 2017 Jan-Feb; 21 (1): 148–153.
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APA Style

Ohenhen Oluwatoyin Abisoye, Uwameiye Oseribhor. (2020). Prevalence and Presentation of Diabetes-Related Hypoglycemia Amongst Persons with Diabetes in a Tertiary Health Instition in Nigeria. International Journal of Diabetes and Endocrinology, 5(3), 34-40. https://doi.org/10.11648/j.ijde.20200503.11

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ACS Style

Ohenhen Oluwatoyin Abisoye; Uwameiye Oseribhor. Prevalence and Presentation of Diabetes-Related Hypoglycemia Amongst Persons with Diabetes in a Tertiary Health Instition in Nigeria. Int. J. Diabetes Endocrinol. 2020, 5(3), 34-40. doi: 10.11648/j.ijde.20200503.11

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AMA Style

Ohenhen Oluwatoyin Abisoye, Uwameiye Oseribhor. Prevalence and Presentation of Diabetes-Related Hypoglycemia Amongst Persons with Diabetes in a Tertiary Health Instition in Nigeria. Int J Diabetes Endocrinol. 2020;5(3):34-40. doi: 10.11648/j.ijde.20200503.11

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@article{10.11648/j.ijde.20200503.11,
  author = {Ohenhen Oluwatoyin Abisoye and Uwameiye Oseribhor},
  title = {Prevalence and Presentation of Diabetes-Related Hypoglycemia Amongst Persons with Diabetes in a Tertiary Health Instition in Nigeria},
  journal = {International Journal of Diabetes and Endocrinology},
  volume = {5},
  number = {3},
  pages = {34-40},
  doi = {10.11648/j.ijde.20200503.11},
  url = {https://doi.org/10.11648/j.ijde.20200503.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijde.20200503.11},
  abstract = {Background: Hypoglycaemia is the most common acute complication of Diabetes Mellitus and often treatment-limiting, serious adverse effect of intensive diabetes therapy. Although it is preventable, hypoglycaemic episodes, especially if severe or recurrent may result in significant psychosocial dysfunction and lower quality of life. Aim: To determine the prevalence, frequency and timing of diabetes-related hypoglycaemia amongst persons with diabetes mellitus. Methods: This was a cross-sectional observational study involving patients attending the diabetes clinic and selected using systematic random sampling. An interviewer- administered questionnaire was used to obtain socio-demographic characteristics as well as experience of hypoglycaemia in the past 12months and severity graded. Data analysis was performed using SPSS 21.0, IBM SPSS Statistics, New York, USA Result: A total of 216 patients were recruited for the study. Eighty nine patients (41.2%) reported experiencing hypoglycaemia, out of which 46 (51.7%) occurred in the morning before breakfast and 16 (18.0%) experienced severe Hypoglycaemia. Skipped meal (58.4%) and overdose of GLA (31.5%) were the most common recognized causes of hypoglycaemia. Level 1 hypoglycaemia was the commonest grade of hypoglycaemia, while males and those on insulin alone had higher odds of having hypoglycaemia (P=0.059). Conclusion: The reported prevalence of hypoglycaemia amongst persons with diabetes mellitus within the last one year prior to the study was rather high which shows that hypoglycaemia is a common experience amongst type 2 diabetic undergoing management. Continuous patient education on the risks, causes, symptoms, and treatment of hypoglycaemia as well as self-monitoring of blood glucose is recommended for every person with diabetes at every health visits.},
 year = {2020}
}

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TY  - JOUR
T1  - Prevalence and Presentation of Diabetes-Related Hypoglycemia Amongst Persons with Diabetes in a Tertiary Health Instition in Nigeria
AU  - Ohenhen Oluwatoyin Abisoye
AU  - Uwameiye Oseribhor
Y1  - 2020/08/18
PY  - 2020
N1  - https://doi.org/10.11648/j.ijde.20200503.11
DO  - 10.11648/j.ijde.20200503.11
T2  - International Journal of Diabetes and Endocrinology
JF  - International Journal of Diabetes and Endocrinology
JO  - International Journal of Diabetes and Endocrinology
SP  - 34
EP  - 40
PB  - Science Publishing Group
SN  - 2640-1371
UR  - https://doi.org/10.11648/j.ijde.20200503.11
AB  - Background: Hypoglycaemia is the most common acute complication of Diabetes Mellitus and often treatment-limiting, serious adverse effect of intensive diabetes therapy. Although it is preventable, hypoglycaemic episodes, especially if severe or recurrent may result in significant psychosocial dysfunction and lower quality of life. Aim: To determine the prevalence, frequency and timing of diabetes-related hypoglycaemia amongst persons with diabetes mellitus. Methods: This was a cross-sectional observational study involving patients attending the diabetes clinic and selected using systematic random sampling. An interviewer- administered questionnaire was used to obtain socio-demographic characteristics as well as experience of hypoglycaemia in the past 12months and severity graded. Data analysis was performed using SPSS 21.0, IBM SPSS Statistics, New York, USA Result: A total of 216 patients were recruited for the study. Eighty nine patients (41.2%) reported experiencing hypoglycaemia, out of which 46 (51.7%) occurred in the morning before breakfast and 16 (18.0%) experienced severe Hypoglycaemia. Skipped meal (58.4%) and overdose of GLA (31.5%) were the most common recognized causes of hypoglycaemia. Level 1 hypoglycaemia was the commonest grade of hypoglycaemia, while males and those on insulin alone had higher odds of having hypoglycaemia (P=0.059). Conclusion: The reported prevalence of hypoglycaemia amongst persons with diabetes mellitus within the last one year prior to the study was rather high which shows that hypoglycaemia is a common experience amongst type 2 diabetic undergoing management. Continuous patient education on the risks, causes, symptoms, and treatment of hypoglycaemia as well as self-monitoring of blood glucose is recommended for every person with diabetes at every health visits.
VL  - 5
IS  - 3
ER  -

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Author Information

Ohenhen Oluwatoyin Abisoye

Department of Medicine, University of Benin Teaching Hospital, Benin City, Nigeria
Uwameiye Oseribhor

Department of Medicine, University of Benin Teaching Hospital, Benin City, Nigeria

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Ohenhen Oluwatoyin Abisoye, Uwameiye Oseribhor. (2020). Prevalence and Presentation of Diabetes-Related Hypoglycemia Amongst Persons with Diabetes in a Tertiary Health Instition in Nigeria. International Journal of Diabetes and Endocrinology, 5(3), 34-40. https://doi.org/10.11648/j.ijde.20200503.11

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ACS Style

Ohenhen Oluwatoyin Abisoye; Uwameiye Oseribhor. Prevalence and Presentation of Diabetes-Related Hypoglycemia Amongst Persons with Diabetes in a Tertiary Health Instition in Nigeria. Int. J. Diabetes Endocrinol. 2020, 5(3), 34-40. doi: 10.11648/j.ijde.20200503.11

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AMA Style

Ohenhen Oluwatoyin Abisoye, Uwameiye Oseribhor. Prevalence and Presentation of Diabetes-Related Hypoglycemia Amongst Persons with Diabetes in a Tertiary Health Instition in Nigeria. Int J Diabetes Endocrinol. 2020;5(3):34-40. doi: 10.11648/j.ijde.20200503.11

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@article{10.11648/j.ijde.20200503.11,
  author = {Ohenhen Oluwatoyin Abisoye and Uwameiye Oseribhor},
  title = {Prevalence and Presentation of Diabetes-Related Hypoglycemia Amongst Persons with Diabetes in a Tertiary Health Instition in Nigeria},
  journal = {International Journal of Diabetes and Endocrinology},
  volume = {5},
  number = {3},
  pages = {34-40},
  doi = {10.11648/j.ijde.20200503.11},
  url = {https://doi.org/10.11648/j.ijde.20200503.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijde.20200503.11},
  abstract = {Background: Hypoglycaemia is the most common acute complication of Diabetes Mellitus and often treatment-limiting, serious adverse effect of intensive diabetes therapy. Although it is preventable, hypoglycaemic episodes, especially if severe or recurrent may result in significant psychosocial dysfunction and lower quality of life. Aim: To determine the prevalence, frequency and timing of diabetes-related hypoglycaemia amongst persons with diabetes mellitus. Methods: This was a cross-sectional observational study involving patients attending the diabetes clinic and selected using systematic random sampling. An interviewer- administered questionnaire was used to obtain socio-demographic characteristics as well as experience of hypoglycaemia in the past 12months and severity graded. Data analysis was performed using SPSS 21.0, IBM SPSS Statistics, New York, USA Result: A total of 216 patients were recruited for the study. Eighty nine patients (41.2%) reported experiencing hypoglycaemia, out of which 46 (51.7%) occurred in the morning before breakfast and 16 (18.0%) experienced severe Hypoglycaemia. Skipped meal (58.4%) and overdose of GLA (31.5%) were the most common recognized causes of hypoglycaemia. Level 1 hypoglycaemia was the commonest grade of hypoglycaemia, while males and those on insulin alone had higher odds of having hypoglycaemia (P=0.059). Conclusion: The reported prevalence of hypoglycaemia amongst persons with diabetes mellitus within the last one year prior to the study was rather high which shows that hypoglycaemia is a common experience amongst type 2 diabetic undergoing management. Continuous patient education on the risks, causes, symptoms, and treatment of hypoglycaemia as well as self-monitoring of blood glucose is recommended for every person with diabetes at every health visits.},
 year = {2020}
}

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TY  - JOUR
T1  - Prevalence and Presentation of Diabetes-Related Hypoglycemia Amongst Persons with Diabetes in a Tertiary Health Instition in Nigeria
AU  - Ohenhen Oluwatoyin Abisoye
AU  - Uwameiye Oseribhor
Y1  - 2020/08/18
PY  - 2020
N1  - https://doi.org/10.11648/j.ijde.20200503.11
DO  - 10.11648/j.ijde.20200503.11
T2  - International Journal of Diabetes and Endocrinology
JF  - International Journal of Diabetes and Endocrinology
JO  - International Journal of Diabetes and Endocrinology
SP  - 34
EP  - 40
PB  - Science Publishing Group
SN  - 2640-1371
UR  - https://doi.org/10.11648/j.ijde.20200503.11
AB  - Background: Hypoglycaemia is the most common acute complication of Diabetes Mellitus and often treatment-limiting, serious adverse effect of intensive diabetes therapy. Although it is preventable, hypoglycaemic episodes, especially if severe or recurrent may result in significant psychosocial dysfunction and lower quality of life. Aim: To determine the prevalence, frequency and timing of diabetes-related hypoglycaemia amongst persons with diabetes mellitus. Methods: This was a cross-sectional observational study involving patients attending the diabetes clinic and selected using systematic random sampling. An interviewer- administered questionnaire was used to obtain socio-demographic characteristics as well as experience of hypoglycaemia in the past 12months and severity graded. Data analysis was performed using SPSS 21.0, IBM SPSS Statistics, New York, USA Result: A total of 216 patients were recruited for the study. Eighty nine patients (41.2%) reported experiencing hypoglycaemia, out of which 46 (51.7%) occurred in the morning before breakfast and 16 (18.0%) experienced severe Hypoglycaemia. Skipped meal (58.4%) and overdose of GLA (31.5%) were the most common recognized causes of hypoglycaemia. Level 1 hypoglycaemia was the commonest grade of hypoglycaemia, while males and those on insulin alone had higher odds of having hypoglycaemia (P=0.059). Conclusion: The reported prevalence of hypoglycaemia amongst persons with diabetes mellitus within the last one year prior to the study was rather high which shows that hypoglycaemia is a common experience amongst type 2 diabetic undergoing management. Continuous patient education on the risks, causes, symptoms, and treatment of hypoglycaemia as well as self-monitoring of blood glucose is recommended for every person with diabetes at every health visits.
VL  - 5
IS  - 3
ER  -

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