NOCTURNAL HYPOGLYCEMIA IN PATIENTS WITH TYPE 2 DIABETES MELLITUS: THE ROLE OF CONTINUOUS GLUCOSE MONITORING DEVICES

Thị Ngọc Trinh Nguyễn, Văn Truyền Ngô, Thị Kim Châu Đoàn, Đức Lộc Ngô, Xuân Trà Bùi

Main Article Content

Abstract

Background: Nocturnal hypoglycemia is a severe complication that is often overlooked in the management of type 2 diabetes mellitus (T2DM). Continuous glucose monitoring (CGM) devices play a crucial role in detecting and managing this form of hypoglycemia, thereby reducing the risk of serious complications. Objectives: To determine the prevalence and characteristics of nocturnal hypoglycemia in patients with type 2 diabetes mellitus using continuous glucose monitoring devices. Materials and methods: This cross-sectional descriptive study was conducted on 41 patients with type 2 diabetes mellitus receiving treatment at Can Tho City General Hospital, utilizing continuous glucose monitoring systems. Results: Among the 41 participants, 19 patients (46.34%) experienced nocturnal hypoglycemia. Factors associated with nocturnal hypoglycemia included a low glucose management indicator (GMI) and high glycemic variability (CV). Conclusions: Continuous glucose monitoring identified a significant proportion of patients (46.34%) with nocturnal hypoglycemia, highlighting low GMI and high CV as key risk factors.

Article Details

References

K. V. Allen&B. M. Frier (2003), “Nocturnal hypoglycemia: clinical manifestations and therapeutic strategies toward prevention”, Endocr Pract, 9 (6), pp. 530-43.
2. Committee American Diabetes Association Professional Practice (2025), “6. Glycemic Goals and Hypoglycemia: Standards of Care in Diabetes-2025”, Diabetes Care, 48 (Supplement_1), pp. S128-S145.
3. J. P. Bae, R. Duan, H. Fu&B. J. Hoogwerf (2017), “Risk Factors for Nocturnal Hypoglycemia in Insulin-treated Patients With Type 2 Diabetes: A Secondary Analysis of Observational Data Derived From an Integrated Clinical Trial Database”, Clin Ther, 39 (9), pp. 1790-1798 e7.
4. A. S. Boureau, B. Guyomarch, P. Gourdy, I. Allix, C. Annweiler, N. Cervantes, G. Chapelet, I. Delabriere, S. Guyonnet, R. Litke, M. Paccalin, A. Penfornis, P. J. Saulnier, M. Wargny, S. Hadjadj, L. de Decker&B. Cariou (2023), “Nocturnal hypoglycemia is underdiagnosed in older people with insulin-treated type 2 diabetes: The HYPOAGE observational study”, J Am Geriatr Soc, 71 (7), pp. 2107-2119.
5. Simona Clus, Gabriela Crețeanu, and Amorin Popa. (2018), “Nocturnal hypoglycemia in type 2 diabetes.”, Romanian Journal of Diabetes Nutrition and Metabolic Diseases, 25 (1), pp. 99-103.
6. R. R. Gehlaut, G. Y. Dogbey, F. L. Schwartz, C. R. Marling&J. H. Shubrook (2015), “Hypoglycemia in Type 2 Diabetes--More Common Than You Think: A Continuous Glucose Monitoring Study”, J Diabetes Sci Technol, 9 (5), pp. 999-1005.
7. K. Jauch-Chara&B. Schultes (2010), “Sleep and the response to hypoglycaemia”, Best Pract Res Clin Endocrinol Metab, 24 (5), pp. 801-15.
8. K. Torimoto, Y. Okada, M. Hajime, K. Tanaka&Y. Tanaka (2018), “Risk Factors of Hypoglycemia in Patients with Type 2 Diabetes Mellitus: A Study Based on Continuous Glucose Monitoring”, Diabetes Technol Ther, 20(9), pp.603-612.
9. C. A. van Beers&J. H. DeVries (2016), “Continuous Glucose Monitoring: Impact on Hypoglycemia”, J Diabetes Sci Technol, 10 (6), pp. 1251-1258.
10. L. Vu, S. Kefayati, T. Ide, V. Pavuluri, G. Jackson, L. Latts, Y. Zhong, P. Agrawal&Y. C. Chang (2019), “Predicting Nocturnal Hypoglycemia from Continuous Glucose Monitoring Data with Extended Prediction Horizon”, AMIA Annu Symp Proc, 2019 pp. 874-882.