A Study on Identifying the Causes of Hypoglycemia and to Implement a Process to Prevent Hypoglycemia Events in Diabetic Patients in a Tertiary ...
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International Journal of Science and Healthcare Research
Vol.7; Issue: 2; April-June 2022
Website: ijshr.com
Original Research Article ISSN: 2455-7587
A Study on Identifying the Causes of Hypoglycemia
and to Implement a Process to Prevent
Hypoglycemia Events in Diabetic Patients in a
Tertiary Care Hospital, Hyderabad
Bhagya Lakshmi1, Usha Prabhakar2, Naga Sireesha3, Maryline Flinsi4,
Dr. N. Balakrishna5
1
Nursing Quality Coordinator-Apollo Health City, Hyderabad
2
Regional Chief Nursing Officer-Apollo Telangana Region
3
Nursing Superintendent -Apollo Health City, Hyderabad, 4Principal Apollo School of Nursing-Delhi
5
HOD- Department of Statistics, AHERF- Apollo Health City, Hyderabad
Corresponding Author: Bhagya Lakshmi
DOI: https://doi.org/10.52403/ijshr.20220412
ABSTRACT details and implemented a process to identify
and treat hypoglycemia in time.
Background: Low blood glucose is common Result: Mean Hypoglycemia was similar across
among people with type 1 diabetes and among age, gender, based on diet intake and also based
people with type 2 diabetes who take insulin or on insulin duration of action. Mean
oral Hyperglycemic agents. In a large global Hypoglycemia was significantly (P
Bhagya Lakshmi et.al. A study on identifying the causes of hypoglycemia and to implement a process to prevent
hypoglycemia events in diabetic patients in a tertiary care hospital, Hyderabad
Both the American Diabetes MATERIAL & METHODS
Association (ADA) and the European This was a prospective and
Medicines Agency have defined observational study.
hypoglycemia as “any abnormally low The data for this study was obtained
plasma glucose concentration that exposes from tertiary care hospitals between August
the subject to potential harm” with a 2021 to March 2022.
proposed threshold plasma glucose value A total of 34 Hypoglycemia eventsBhagya Lakshmi et.al. A study on identifying the causes of hypoglycemia and to implement a process to prevent
hypoglycemia events in diabetic patients in a tertiary care hospital, Hyderabad
Figure 2: Process flow to treat Hypoglycemia promptly
Statistical Methods occurrence, its association with symptoms
Mean and SD values were calculated as given in Table 1, by ’t’ test. Multiple
for Quantitative variables. Proportions (%) linear regression mode; was performed to
were calculated for Qualitative variables study the relationship of hypoglycemia with
like age, gender, time of occurrence, symptoms, time of occurrence and action
hypoglycemia events association with taken. Level of significance was considered
symptoms, what was the action taken. Mean as 0.05. SPSS version 24 was used for all
values of hypoglycemia events were statistical methods.
compared by age, gender, time of
RESULTS
Table 1
Baseline Characteristics Categories N Mean In Relation To SD P-Value
Hypoglycemia Event
Age >=66 21 55.2 10.28
0.786Bhagya Lakshmi et.al. A study on identifying the causes of hypoglycemia and to implement a process to prevent
hypoglycemia events in diabetic patients in a tertiary care hospital, Hyderabad
sugar (61.8) water and intravenous fluids progressively reduced from (20 episodes in
(56.3). 2 Months period to34 episodes in 7 months
duration).
Table 2: Multiple Linear regression model of Hypoglycemic
events with Symptoms, Time of occurrence and Action taken
Multiple Linear regression model of Hypoglycemic events CONCLUSION
with Symptoms, Time of occurrence and Action taken Implementation of structured
S no Model P2 (%) P value
1 46.9-4.441 Sympotoms+4.51 training program about the most common
Time of occerence+8.977 38.6 0.002 causes leading to hypoglycemia and the
Action taken
2 49.2+11.353*Action taken 29.7 0.001 process of correcting event on time reduce
Note: * Indicates Significant morbidity related to hypoglycemia.
Counselling programme to the patients
Table 2 shows the relationship of
regarding hypoglycemia, its causes and
hypoglycemia with symptoms, time of
symptoms, adverse effects as well as
occurrence and action taken. Level of
appropriate management should be
significance was considered as 0.05.
encouraged. The knowledge about
The most common causes were
symptoms of hypoglycemia is an important
insufficient diet intake, and inadequate
step to self-care practice, because informed
insulin doses management as per diet intake.
people are more likely to have better
Consequently, we implemented protocols to
practice.9 Having good knowledge about
guarantee a minimal intake of CHO
hypoglycemia is positively associated with
(intravenous and/or oral), and discussions
good hypoglycemia prevention practice.10
with dietician team for same. In addition,
we developed process to identify the Acknowledgement: None
hypoglycemia events and defined a process
for prompt treatment of event to reduce Conflict of Interest: None
severity. By these actions, the rate of
Source of Funding: None
hypoglycemia progressively reduced from
(20 episodes in 2 Months period to34 Ethical Approval: Approved
episodes in 7 months duration).
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