Hypoglycaemia in the elderly.
To determine the prevalence, presentation, causes and consequences of hypoglycaemia in the elderly, and to make preventive recommendations.
Retrospective review of case records.
The definition of hypoglycaemia is defined as symptoms with a capillary blood sugar of less than 3 mmol/L measured on the Reflolux II or Accutrend glucometer.
Out of 1,919 admissions to our department from November 1993 to January 1996, there were 45 cases of hypoglycaemia.
The average age was 76.2 years (range 66 to 89 years) ; 32 were females, 13 males, 35 had diabetes mellitus and 10 were non-diabetics.
Forty patients presented with neuroglycopaenic symptoms and 5 patients presented with adrenergic symptoms.
Thirteen patients presented were solely due to drugs (mainly glibenclamide) ; 9 cases were due only to disease (mainly psychiatric illnesses with poor intake) ; 23 cases were due to both drugs and diseases (mainly a combination of glibenclamide, tolbutamide and psychiatric illness with poor intake, renal failure, gastroenteritis and sepsis).
All were easily reversed with an intravenous bolus of 50% glucose or continuous 10% glucose infusions.
Forty-three patients did not suffer any morbidity, one suffered a stroke and another fell because of giddiness. (...)
Mots-clés Pascal : Hypoglycémie, Vieillard, Homme, Prévalence, Etiologie, Complication, Prévention, Epidémiologie, Singapour, Asie
Mots-clés Pascal anglais : Hypoglycemia, Elderly, Human, Prevalence, Etiology, Complication, Prevention, Epidemiology, Singapore, Asia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0001917
Code Inist : 002B22C. Création : 17/04/1998.