Associated Factors with Hyperglycemia in Diabetic Patients Admitted to Emergency Department

Abstract

Background and Purpose: Given the increasing prevalence of diabetes and its associated healthcare costs, this study aimed to identify the factors contributing to the increase in blood glucose followed by inadequate control in diabetic patients registered in the Imam Hospital in Sari.

Materials and Methods: This cross-sectional descriptive study was performed on diabetic patients admitted to the emergency department suffering from increase in blood glucose (more than 200 mg/dL). Demographic, clinical, and social information were entered into the checklist, and the factors associated with the rise in blood glucose was investigated.

Results: In this study, 301 diabetic patients with increase in blood glucose levels were included. Mean age was 65±10.6 years, 50.8% (153) were between 70-61 years, and lethargy with 37.9% (114 patients) had the highest cause of complaints in patients, meanwhile, 38.9% (117) of the patients had 4 visits a year by specialist. In addition, 53.8% (162) had "while at work" physical activity status and only 6.6% (20) of the patients had sportive-recreational activity. 42.2% (127) of the studied cases were also not in any type of abuse situation (clean), and 32.9% (99) of them experienced drug abuse. Among the referring patients, 51.5% were suffering hyperglycemia with infection, and 22.6% were documented to be with reduced or discontinued medication.

Discussion: Based on the results, a general description of associated factors with hyperglycemia patients can be used for the prevention and treatment of these patients and the prevention of future complications.