Scientific Research and Essays

  • Abbreviation: Sci. Res. Essays
  • Language: English
  • ISSN: 1992-2248
  • DOI: 10.5897/SRE
  • Start Year: 2006
  • Published Articles: 2752

Full Length Research Paper

Etiologies of patients admitted to emergency department with hypoglycemia

Sevki Hakan Eren1*, Haci Mehmet Caliskan1, Fatih Kilicli2, Ilhan Korkmaz1, Fettah Acibucu3 and Hatice Sebila Dokmetas2
1Department of Emergency, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey. 2Department of Endocrinology and Metabolism, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey. 3Department of Internal Medicine, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey.
Email: [email protected]

  •  Accepted: 26 April 2010
  •  Published: 30 September 2013

Abstract

Hypoglycemia is the most common endocrinologic problem seen in emergency departments. To explore its causes in patients who admitted to the emergency department with symptoms resembling hypoglycemia, 225 hypoglycemia cases were evaluated from January 2000 to May 2008. Of 225 hypoglycemia cases, 158 (70.2%) were receiving treatment for diabetes mellitus, which was the most common group (94 patients were using insulin, 55 were receiving oral anti-diabetics (OAD) and 9 patients both OAD and insulin). The other causes for hypoglycemia were as follows: reactive hypoglycemia cases (11.6%), insulinoma (2.7%), malignancies (2.2%), Sheehan syndrome (0.9%), chronic liver disease (0.9%), gestational diabetes mellitus (0.4%), OAD use by mistake (3.6%), and use of OAD for suicidal purposes (13%). In eight of the cases, the reason could not be identified. The study revealed that diabetes mellitus constitute the most common reason for hypoglycemia among the patients seen in emergency departments. Efforts should be made to prevent hypoglycemia by giving the patients better education.

 

Key words: Emergency department, hypoglycemia, endocrine emergency.