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Research Article Volume 6 Issue 2
Analysis of hypoglycemic episodes in diabetics in Africans
Adegbenga B Ademolu
Medicine Department, Lagos State University Teaching Hospital, Nigeria
Received: February 07, 2019 | Published: March 28, 2019
Citation: Ademolu AB. Analysis of hypoglycemic episodes in diabetics in Africans. J Diabetes Metab Disord Control. 2019;6(2):32-37. DOI: 10.15406/jdmdc.2019.06.00179
Abstract
Purpose: Hypoglycemia as a management complication of diabetes mellitus (DM) is a worldwide experience. In Africa; hypoglycemia is an uncharted territory in literature. Therefore, the following questions will be addressed using Ademolus Classification of Hypoglycemia (ACH). Which are the commonest and the least common grade of hypoglycemia in DM African patients? Which grade of hypoglycemia is seen commonly in type 1 and in type 2 diabetics?.
Methods: This is a retrospective study that analyses 203documented hypoglycemic episodes in Africans with DM over 9year’s period. Using a questionnaire on 50case files studied. Hypoglycemia was defined as a blood sugar of 70mg/dl or less.
Results: By using ACH to analyze the 203hypoglycemic episodes in all type 2diabetics studied, 48.50% had grade l hypoglycemia, 35.93% had grade 2hypoglycemia while 15.57% had grade 3hypoglycemia. In all type 1 DM studied, 30.50% had grade 1, 33.33% had grade 2while 36.11% had grade 3hypoglycemia. The lowest documented hypoglycemia amongst type 2 DM was an asymptomatic fasting blood sugar of 20mg/dl (grade 3 hypoglycemia). By using ACH, there was no record of grade 4hypoglycemia in both type 1 and type 2 DM patients in this African study.
Conclusions: Asymptomatic hypoglycemia can occur in grade 3among African diabetics. Grade 1 is the commonest grade of hypoglycemia in diabetic Africans. A similar study is recommended in Americans, Europeans, Asians and all ethnic groups for possible racial diff erences or disparity in the findings of this research.
Keywords: Hypoglycemia, Ademolus Classification of Hypoglycemia, Diabetes Africans
©2019 Ademolu. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.