MÔ TẢ ĐẶC ĐIỂM LÂM SÀNG VÀ CẬN LÂM SÀNG Ở BỆNH NHÂN ĐÁI THÁO ĐƯỜNG CÓ BIẾN CHỨNG CẤP TÍNH (NHIỄM TOAN CETON VÀ/HOẶC TĂNG ÁP LỰC THẨM THẤU)

Abstract

Overview: The acute hyperglycemia complications of diabetes mellius (also known as the hyperglycemic crisis) are one of the main reasons for hospitalization. Objectives: Describe the clinical and subclinical characteristics of the hyperglycemic crisis (Diabetic Ketoacidosis and/or Hyperosmolar Hyperglycemic State) in patients with diabetes mellitus. Methods: A descriptive cross-sectional study, carried out on 48 diabetic patients with hyperglycemic crisis admitted to the Endocrinology and the Emergency department of Bach Mai Hospital, from January 2023 to August 2023. Results: The average patients’s age is around 52,02 ± 19,19 year-old, in which the most common is patients over 60 years old. The majority of hospitalized patients with hyperglycemic crisis are those newly diagnosed (31,1%) and diagnosed within the last 5 years (43,8%). The patients’ adherence to the treatment is very poor, with 60,7% taking the medication irregularly. The average blood glucose at admission is high: 39,8 ± 14,2 mmol/L and the HbA1c control is inadequate, with the HbA1c index ≥ 10% accounted for 60,4%. Conclusion: The hyperglycemic crisis appears mainly in newly diagnosed patients, untreated patients or in patients who doesn’t comply with the treatment regimen, with poor blood glucose control