Department of Emergency Medicine, Kafkas University Medical School, Kars, Turkey.
Department of Emergency Medicine, Kocaeli State Hospital, Kocaeli, Turkey.
Int J Clin Pract. 2021 Nov;75(11):e14808. doi: 10.1111/ijcp.14808. Epub 2021 Sep 13.
This study was conducted to determine the frequency and clinical features of patients who were diagnosed incidentally as having diabetes mellitus (DM) in the emergency department.
Our aim was to investigate the ratio of DM in patients whose high blood glucose levels (hyperglycaemia) were detected, and to examine the subsequent treatment for these patients.
The participants were selected from among patients who had a glucose level of ≥200 mg/dL and admitted to emergency department with symptoms of hyperglycaemia in the past one year. Age, gender, presence of chronic disease and the laboratory blood parameter results of the patients were recorded. We divided the patients into three groups as those who had never been admitted to clinics for treatment, those who were admitted and given treatment and not given treatment.
According to their genders, 73 (52.1%) were male and 67 (47.9%) were female. It was determined that 86 of the 140 patients included in the study were admitted to clinics for control. It was determined that no medication was given to 50 of these patients, but treatment was initiated in 36. Patients with glucose level ≥300 mg/dL were found to be receiving more treatment significantly (P = .031). There were significantly fewer patients with renal disease in the group in which medication was initiated than in the group for which medication was not initiated.
Patients with blood sugar ≥200 mg/dL in the emergency department should be sent to the DM outpatient clinic. It was observed that regular drug use after the diagnosis of DM had a protective effect on renal disease.
本研究旨在确定在急诊科偶然诊断为糖尿病（DM）的患者的频率和临床特征。
我们旨在调查血糖水平升高（高血糖）患者中 DM 的比例，并检查这些患者的后续治疗情况。
我们从过去一年因高血糖症状而在急诊科就诊且血糖水平≥200mg/dL 的患者中选择了参与者。记录了患者的年龄、性别、慢性病的存在以及实验室血液参数结果。我们将患者分为三组：从未因治疗而入院的患者、入院并接受治疗的患者以及未接受治疗的患者。
根据性别，73 名患者为男性（52.1%），67 名患者为女性（47.9%）。在 140 名纳入研究的患者中，有 86 名被确定为接受诊所控制。我们发现，在这 50 名患者中，没有给予任何药物治疗，但对 36 名患者开始了治疗。血糖水平≥300mg/dL 的患者接受治疗的可能性显著更高（P=0.031）。与未开始用药的患者相比，开始用药的患者中肾脏疾病的患者明显更少。
急诊科血糖水平≥200mg/dL 的患者应转至 DM 门诊就诊。诊断为 DM 后定期使用药物对肾脏疾病有保护作用。
