Agrawal Siddarth, Makuch Sebastian, Dróżdż Mateusz, Dudzik Tomasz, Domański Igor, Poręba Rafał, Mazur Grzegorz
Department and Clinic of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 50-556 Wroclaw, Poland.
Department of Clinical and Experimental Pathology, Wroclaw Medical University, 50-368 Wroclaw, Poland.
J Clin Med. 2022 Jan 26;11(3):626. doi: 10.3390/jcm11030626.
The increasing mortality and morbidity in patients with diabetes mellitus constitute a severe public health problem. The condition is recognized as a cause of impaired quality of life, high costs, and diminished productivity. In this study, we performed a cross-sectional analysis among 300 Polish participants with type 1 and type 2 diabetes to determine and classify risk factors associated with increased incidences of hypoglycemia. Including an open-access knowledge about the correlations between diabetes rates and human's lifestyle, we confirm that the frequency of smoking and drinking alcohol, low BMI, inappropriate diet, low physical activity, lack of vaccination against influenza and pneumococci, and co-existence of other comorbidities such as cardiovascular diseases, thyroid diseases, hyperlipidemia, retinopathy, and asthma elevate the risk of hypoglycemia. Furthermore, hypoglycemic patients were more often malnourished, depressed, irritated, and exposed to stress. In sum, the analysis of the interaction between diabetes and sociodemographic, environmental, or other disease-related risk factors provides strategies to optimize glycemic control and reduce the incidence of hypoglycemia. Furthermore, we believe our findings may constitute a basis for promoting health by adjusting available and implementing new preventive services reducing hypoglycemic episodes in diabetic patients.
糖尿病患者死亡率和发病率的不断上升构成了一个严重的公共卫生问题。该疾病被认为是生活质量受损、成本高昂和生产力下降的一个原因。在本研究中,我们对300名1型和2型糖尿病波兰参与者进行了横断面分析,以确定和分类与低血糖发生率增加相关的风险因素。包括关于糖尿病发病率与人类生活方式之间相关性的开放获取知识,我们证实吸烟和饮酒频率、低体重指数、不当饮食、低体力活动、缺乏流感和肺炎球菌疫苗接种,以及心血管疾病、甲状腺疾病、高脂血症、视网膜病变和哮喘等其他合并症的共存会增加低血糖风险。此外,低血糖患者更常出现营养不良、抑郁、易怒和面临压力的情况。总之,对糖尿病与社会人口统计学、环境或其他疾病相关风险因素之间相互作用的分析提供了优化血糖控制和降低低血糖发生率的策略。此外,我们相信我们的研究结果可能构成通过调整现有并实施新的预防服务来促进健康、减少糖尿病患者低血糖发作的基础。