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Colegio de Medicina Interna de México.

2021, Number 1

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Med Int Mex 2021; 37 (1)

Secondary prevention of hypoglycemias in diabetic patients hospitalized in Internal Medicine

Ternero-Vega JE, González-León R, Jiménez-de Juan C, Alfaro-Lara V, Camacho-Carrasco A, Navarro-Rodríguez A, Cano-Rodríguez T, Ollero-Baturone M

Language: Spanish
References: 19
Page: 25-33
PDF size: 469.82 Kb.


ABSTRACT

Background: The prevalence of hypoglycemia in hospitalized diabetic patients can up to 25% and is associated with increased morbidity and mortality. Few studies analyze the effectiveness of preventive measures of hypoglycaemia.
Objective: To analyze the prevalence of hypoglycemia in diabetic patients admitted to an Internal Medicine service of a tertiary hospital before and after the implementation of corrective/preventive measures and adherence to them.
Materials and Methods: Quasi-experimental study before-after, done from September 14 to November 21, 2017, in which corrective measures were implemented. Prevalence of hypoglycemia was determined before and after the intervention.
Results: Prevalence of hypoglycemia before and after the intervention was 12%; 66.7% occurred before breakfast (9:00 h). The adherence to intravenous insulin protocol was of 9.4%.
Conclusion: The performance of capillary glycemia should be protocolized at 7:00 am to reduce inadvertent hypoglycemia. It is a priority to improve adherence to measures that may help to reduce the prevalence of hospital hypoglycemia.


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