Introduction. Severe hypoglycemia can be life-threatening; therefore, it is important to identify the characteristics of the hypoglycemic patients. The aim of this study is to analyze the type and characteristics of diabetic patients with hypoglycemia who visited an emergency room. Methods. We included diabetic patients with hypoglycemia who visited the emergency room of St. Mary’s Hospital in Seoul from January 2009 to August 2018 in the study. Hypo_S group patients visited the emergency room once whereas Hypo_M group patients visited twice or more. We also compared the incidence of cardiovascular disease between the groups within 5 years after hypoglycemia. Results. A total of 843 patients were included in this study, with a mean age of years and average glycated hemoglobin (HbA1c) level of . For patients with hypoglycemia, lower body mass index, lower HbA1c, shorter diabetes duration, and lower glomerular filtration rate have a statistically significant relationship with patient characteristics in the emergency room group (all ). Hypoglycemia symptoms were most frequently observed between 6:00 and 12:00 am (). Cardiovascular diseases within 5 years after discharge were more frequent in the Hypo_S group than in the Hypo_M group; however, there was no statistical significance. The frequency of aneurysms was significantly higher in patients with hypoglycemia than in other patients in the emergency room (). Conclusion. Relatively thin older patients with a diabetes duration shorter than 10 years and good blood sugar control showed higher frequency of visits to the emergency room due to hypoglycemia. For these patients, medical staff should always be mindful of their susceptibility to hypoglycemia when prescribing insulin or OHA and educate them on the prevention of hypoglycemia.

中文翻译：

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去急诊室就诊的低血糖糖尿病患者的特征。


介绍。严重低血糖可能危及生命；因此，明确低血糖患者的特征非常重要。本研究的目的是分析到急诊室就诊的低血糖糖尿病患者的类型和特征。方法。我们的研究纳入了2009年1月至2018年8月在首尔圣玛丽医院急诊室就诊的患有低血糖的糖尿病患者。 Hypo_S 组患者前往急诊室一次，而 Hypo_M 组患者前往急诊室两次或更多次。我们还比较了低血糖后 5 年内各组之间心血管疾病的发生率。结果。本研究共纳入 843 名患者，平均年龄年和平均糖化血红蛋白 (HbA1c) 水平 。对于低血糖患者，较低的体重指数、较低的 HbA1c、较短的糖尿病病程和较低的肾小球滤过率与急诊室组的患者特征有统计学上的显着关系（所有 ）。低血糖症状最常见于上午 6:00 至 12:00 之间（ ）。 Hypo_S组出院后5年内心血管疾病的发生率高于Hypo_M组；然而，没有统计学意义。低血糖患者发生动脉瘤的频率明显高于急诊室其他患者（ ）。结论。相对瘦弱、糖尿病病程短于 10 年且血糖控制良好的老年患者因低血糖而去急诊室的频率较高。对于这些患者，医务人员在开胰岛素或OHA处方时应时刻注意他们对低血糖的易感性，并对他们进行低血糖预防的教育。