TỶ LỆ HẠ HUYẾT ÁP TƯ THẾ VÀ MỘT SỐ YẾU TỐ LIÊN QUAN Ở BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TYPE 2 TẠI KHOA NỘI TIẾT - ĐÁI THÁO ĐƯỜNG, BỆNH VIỆN BẠCH MAI

Abstract

Objectives: 1. Survey the rate and clinical characteristics of postural hypotension in patients with type 2 diabetes at the Department of Endocrinology-Diabetes, Bach Mai Hospital. 2. Comment on some factors related to postural hypotension in the above patients. Subjects and methods: cross-sectional descriptive study on 140 patients with type 2 diabetes treated as inpatients at the Department of Endocrinology-Diabetes, Bach Mai Hospital from August 2023 to October 2024. Results: The average age is 57.47 ± 11.20; male gender accounts for 55%, higher than female (45%). The rate of postural hypotension in patients with type 2 diabetes is 35%, in which the rate of male and female is 26%, 46% respectively. And mainly in the age group ≥ 60 (83.67%). The incidence of type 2 diabetes over 10 years with the highest postural hypotension was 49%, of which 25% had dyslipidemia. The average HbA1c of the study group was 10.68 ± 2.67%, the rate of achieving the target HbA1c < 7% was only 8.6%; Clinical manifestations of 69.4% were mainly dizziness, blurred vision and headache; blurred vision was rare and no cases of fainting were encountered. Old age, poor blood sugar control, duration of diabetes, dyslipidemia increased the risk of postural hypotension (p<0.05). Conclusion: Postural hypotension is a complication that needs attention in patients with type 2 diabetes. Adherence to treatment and timely follow-up visits to limit this complication. Practice a healthy lifestyle and a reasonable diet to control blood sugar and blood lipids.