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Description
Hypoglycemia is the most frequent metabolic complication of diabetes. Aim of study: To identify the population of patients visiting emergency departments for hypoglycemia. Materials and methods: Prospective study over an 18-month period. We included all emergency department patients with clinicobiological hypoglycemia. Results: We recorded 43 cases of hypoglycemia. The mean capillary blood glucose level was 0.4 ± 0.11 g/l. After resugaring, it reached an average of 2.14 ± 0.56 g/l. Immediate recovery was achieved in 90.7% of cases. Complications occurred in 15 patients: hypoglycemic coma (6.9%), convulsion (4.6%), paresis (2.3%), hypertension (25.5%) and OAP (2.3%). Hospitalization was indicated in 19 patients (44%). Factors predictive of hospitalization included advanced age, history of type 1 diabetes and hypoglycemia, diet deviation, insulin dose error, coma, seizures, hypernatremia and elevated plasma urea and creatinine levels.Conclusion: These results underline the major number of potentially avoidable hospitalizations and the importance of therapeutic education. Fatma Medhioub Kaaniche is Associate Professor of Medical Intensive Care at Mahres Regional Hospital, Sfax (22/02/2021) and Head of the University Medical Intensive Care Service (December 13, 2019).
