Open AccessHypoglycemia in type 2 diabetes patients treated with insulin: the advantages of continuous glucose monitoring
Author(s) -
Vadim V. Klimontov,
Климонтов Вадим Валерьевич,
Alexander Ivanovich Tsiberkin,
Циберкин Александр Иванович,
Ольга Николаевна Фазуллина,
Фазуллина Ольга Николаевна,
М.А. Прудникова,
Прудникова Марина Алексеевна,
N V Tyan,
Тян Надежда Викторовна,
Konenkov Vi,
Коненков Владимир Иосифович
Publication year - 2014
Publication title -
saharnyj diabet
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.155
H-Index - 12
eISSN - 2072-0378
pISSN - 2072-0351
DOI - 10.14341/dm2014175-80
Subject(s) - medicine , hypoglycemia , glimepiride , postprandial , insulin , diabetes mellitus , type 2 diabetes mellitus , metformin , endocrinology , basal (medicine) , continuous glucose monitoring , type 2 diabetes , type 1 diabetes , gastroenterology
Aims. To determine the incidence and risk factors for hypoglycemia in elderly insulin-treated type 2 diabetes mellitus (T2DM) patients by means of continuous glucose monitoring (CGM). Materials and Methods. We observed seventy-six hospitalized patients with T2DM, aged 65 to 79 years. Treatment with basal insulin (n=36), premixed insulin (n=12) or basal-bolus insulin regimen (n=28) was followed by metformin (n=44), glimepiride (n=14) and dipeptidyl peptidase-4 inhibitors (n=14). 2-days CGM with retrospective data analysis was performed in all patients. During CGM, three fasting and three 2-h postprandial finger-prick glucose values were obtained daily with portable glucose meter. Results. Hypoglycemia (identified as blood glucose