IJSHR

International Journal of Science and Healthcare Research

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Original Research Article

Year: 2022 | Month: April-June | Volume: 7 | Issue: 2 | Pages: 79-83

DOI: https://doi.org/10.52403/ijshr.20220412

A Study on Identifying the Causes of Hypoglycemia and to Implement a Process to Prevent Hypoglycemia Events in Diabetic Patients in a Tertiary Care Hospital, Hyderabad

Bhagya Lakshmi1, Usha Prabhakar2, Naga Sireesha3, Maryline Flinsi4, Dr. N. Balakrishna5

1Nursing Quality Coordinator-Apollo Health City, Hyderabad
2Regional Chief Nursing Officer-Apollo Telangana Region
3Nursing Superintendent -Apollo Health City, Hyderabad, 4Principal Apollo School of Nursing-Delhi
5HOD- Department of Statistics, AHERF- Apollo Health City, Hyderabad

Corresponding Author: Bhagya Lakshmi

ABSTRACT

Background: Low blood glucose is common among people with type 1 diabetes and among people with type 2 diabetes who take insulin or oral Hyperglycemic agents. In a large global study of people with diabetes who take insulin, 4 in 5 people with type 1 diabetes and nearly half of those with type 2 diabetes reported a low blood sugar event at least once over a 4-week period. Therefore, this study helps in identifying the causes of hypoglycemia and to implement a process to prevent hypoglycemia events in diabetic patients. Before taking up the study we have noticed an increased number in Hypoglycemia events for 2 months Period. For which the Retrospective data was collected and analyzed to understand the most common factors causing Hypoglycemia
Aim: To identify the causes of Hypoglycemia and to implement a process to prevent Hypoglycemia events
Design: Initial retrospective analysis was done to understand the most common factors causing Hypoglycemia. Post Retrospective analysis we have initiated a structured training programme to all health care staff who are involved in the care of diabetic patients. Training was done over a period of 2 weeks, following an observation study done for duration of 6 months to analyze the occurrence of hypoglycemia events in details and implemented a process to identify and treat hypoglycemia in time.
Result: Mean Hypoglycemia was similar across age, gender, based on diet intake and also based on insulin duration of action. Mean Hypoglycemia was significantly (P<0.05) higher in evening (12 pm to 12 am) 58.8, then the morning (1 am to 12 pm). Asymptomatic glycemic events were significantly (P<0.05) higher by mean of symptomatic hypoglycemia.
Conclusion: Implementation of structured training program about the most common causes leading to hypoglycemia and the process of correcting event on time reduce morbidity related to hypoglycemia.
Recommendations: Training programme should be carried out for nurses related to process of preventing hypoglycemia and process in correcting hypoglycemia in time

Keywords: Hypoglycemia, Diabetes, Insulin, OHA.

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