ĐẶC ĐIỂM KIỂM SOÁT ĐƯỜNG HUYẾT VÀ MỘT SỐ YẾU TỐ LIÊN QUAN Ở BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TYPE 2 CAO TUỔI CÓ SUY THẬN MẠN

Abstract

Ojectives: To describe characteristics of glycemic control and related factors in elderly type 2 diabetes mellitus with chronic renal failure. Subjects and method: In this cross sectional analytical study a total of 174 older aldults with type 2 diabetes mellitus and chronic renal failure. Results: Mean age: 71.7 ± 7.5 (yearsold), Max 95, 56,9% ≥70 (yearsold). Mean duration of type 2 diabetes mellitus:16,7 ± 7,3; the rate of patients have diabetic over 10 years: 82,8%; 67.8% CKD stage 3, 52.3% FBG >7,0 mmol/l, 58.5% HbA1c >7.5% and 72.4% patients had prehypoglycemia. Tight glycemic control was significantly associated with the prevalence of hypoglycemia with p <0.05. There was no relationship between age, duration of diabetes, prehypoglycemia  with HbA1c. Conclusion: Older adults with diabetes and chronic kidney disease are a complex population who require careful diabetes management and monitoring. Intensive glycemic control increases the risk of hypoglycemia and mortality.