Halo 194 (Jan 2018)
Hypoglicemia: Experienced by the municipal institute for emergency medical aid Belgrade
Abstract
Introduction: Hypoglicemia is a common complication of both Diabetes Mellitus type 1 (DM1) and 2 (DM2), that are being treated with insulin and/or insulin secretagogues (sulfonylurea or glinides). Objective: The objective of the research was to find the incidence of hypoglicemia incidents in diabetic patients that would require the assistance of an Emergency Medical Team, then treatment methods for hypoglicemia at the scene of the incident and the number of patients requiring to be transported to the hospital. Methodology: A prospective study was performed using medical reports from the Municipal Institute for Emergency Medical Aid Belgrade for the time period of 01.04.-30.04.2015. The study included patients with the diagnosis of Diabetes Mellitus, Hyperglicemia or Hypoglicemia that had been treated by an Emergency Medical Team during the selected time period. Data was compiled using medical reports that are filled out by doctors after each intervention. Results: Out of 8043 analyzed medical reports for the selected time period, 116 (1.44%) were marked with the aforementioned diagnoses and in 63 (54.31%) of those hypoglicemia was the reason for the Emergency Medical Service intervention. Glicemia levels of 2,2 mmol/l or lower were noted in 41 patients. In order to correct the hypoglicemia, a hypertonic solution of 50% Glucose was administered i.v. to 61 (96.83%) patients. The mean waiting time before the call was delivered to the Medical Team was 4.52±5.55 (Med=2.68; IKO (1.06;7.36)) minutes. 90.48% of the patients were treated at the scene of the incident. Conclusion: Hypoglicemia is a common emergency complication in diabetic patients. According to our research, 65.08% of the patients had severe cases of hypoglicemia. In order to correct it, a hypertonic solution of 50% Glucose was administered and only 9.52% of the patients were transported to the hospital.
