earticle

영어

This study is a non-synchronized design single group study to determine whether 15 minutes is appropriate for re-treatment of hypoglycemia after measuring the blood glucose levels at 15 min, 30 min, and 45 min, after dosing 15 g of simple carbohydrates during hypoglycemia in patients with Type 2 Diabetes Mellitus using a specified glucometer. The study was conducted in 30 adult patients with Type 2 diabetes mellitus who were hospitalized as in-patients at the Internal Medicine of Endocrinology of one general hospital in Seoul to get insulin therapy (15 men, 15 women). The collected data was analyzed using PASW statistics 18 program. General characteristics of subjects were analyzed with frequency and percentage. The blood glucose level comparison each time was analyzed by using Repeated measured ANOVA. Upon any incidence of hypoglycemia, 175 cc of orange juice (equivalent to 15 g of simple carbohydrates) was given to patients whose blood glucose were ≤70 mg / dL or patients who meet the Whipple triad, and the blood glucose levels were measured using a specified glucometer respectively at 15 min, 30 min, and 45 min intervals after drinking the juice. These blood glucose levels were then compared at each time interval (Korean Diabetes Association (KDA) Treatment Guideline for Diabetes, 2011). Upon the incidence of hypoglycemia in patients with Type 2 diabetes mellitus who are currently under insulin therapy, each blood glucose level measured at 15 min, 30 min, and 45 min intervals after taking 15 g of simple carbohydrates using a specified glucometer was studied. The blood glucose level measured at 30 minutes after taking simple carbohydrates had shown also statistically significant increase from the blood glucose level at the time of hypoglycemia (p<.001). However, when comparing glucose levels measured at 15 min (p=.001) and at 30 min (p<.001) after taking simple carbohydrates, from the glucose level at the time of hypoglycemia, the glucose level measured at 30 min after taking after taking simple carbohydrates was significantly increased. Thereby, it is suggested to measure the glucose level at 30 min, not at 15 min after taking simple carbohydrates when considering incidences of hypoglycemia in in patients with Type 2 diabetes mellitus who are currently under insulin therapy.