NHẬN XÉT ĐẶC ĐIỂM LÂM SÀNG VÀ CẬN LÂM SÀNG Ở BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TYP 2 NHẬP VIỆN CẤP CỨU

Abstract

Backgrounds: Diabetes is a serious threat to global health. Hyperglycemia and acute illnesses are the main reasons for hospitalization. Objectives: Describe clinical and laboratory features of patients with type 2 diabetes mellius admitted to the emergency department. Methods: This cross-sectional study is carried out on 103 patients with type 2 diabetes mellius admitted to the emergency department at Thanh Nhan Hospital from January 2022 to May 2022. Results: Most patients have no typical symptoms of hyperglycemia, accounting for 60.19%. The two main reasons leading to hospitalization were acute respiratory disease (28.2%) and hyperglycemia (20.4%). The laboratory features: mean blood glucose level is 26.5 ± 13.6 mmol/l, mean blood HbA1c level is 10.83 ± 2.49 %, Diabetic ketoacidosis (6.8%), hyperosmolar hyperglycemic state (7.8%), hyponatremia (52.4%), hypokalemia (17.5%). Conclusion: Patients with type 2 diabetes mellius often admitted to the emergency department when they suffer from acute illnesses. The majority of patients participating in the survey aged over 60 do not obey the treatment. These patients often have high level of blood glucose and disordered electrolyte when they are admitted to the hospital.