HẠ ĐƯỜNG HUYẾT Ở BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TYPE 2 CAO TUỔI CÓ MỨC LỌC CẦU THẬN <60 ML/PHÚT/M2 TẠI BỆNH VIỆN NỘI TIẾT TRUNG ƯƠNG

Abstract

Ojectives: To describe the clincal and paraclinicalCharacteristics of hypoglycemia in type 2 diabetes mellitus patients with eGFR< 60 ml/min/m². Subjects and method: In this cross sectional analytical study a total of 126 elderly type 2 diabetes mellitus patients with eGFR< 60 ml/min/m² who hospitalized for hypoglycemia or hypolycemia during hospitalization at Hanoi national of endrocrinology hospital. Results: Mean age 71.1± 7.3; the rate of patients who had duration time of type 2 diabetes mellitus over 15 years was 63.5%; 25.4% severe hypoglycemia; the percentage of elderly diabetes patients who had eGFR under 30 ml/min/m² was 40,5%; 52.4% patients had glucose under 3.0 mmol/l; 38,6% asymptomtomatic hypoglycemia. Common ASD symptoms were sweaty, hungry and tremors respectively 44.8%, 52.3% and 55.6%. Symptoms of CNS are quite slight such as fatigue (24.4%), dizziness (24.4%), blurred vision (25.2%). Conclusion: Hypoglycemia in elderly type 2 diabetes patients with eGFR < 60 ml/min/m² is common asymptomatic. Common ASD symptoms are sweaty, hungry and tremors respectively.