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Chinese Journal of Hygiene Rescue(Electronic Edition) ›› 2018, Vol. 04 ›› Issue (06): 378-380. doi: 10.3877/cma.j.issn.2095-9133.2018.06.013

Special Issue:

• Nursing Corner • Previous Articles     Next Articles

Causes of hypoglycemic coma in rural elderly patients in Changwu Area and nursing education strategies

Xiaoqin Wang1,(), Ting Gu1   

  1. 1. Department of Endocrinology, Wujin People’s Hospital Affiliated to Jiangsu University, Changzhou 213017, China
  • Received:2018-11-05 Online:2018-12-18 Published:2018-12-18
  • Contact: Xiaoqin Wang
  • About author:
    Corresponding author: Wang Xiaoqin, Email:

Abstract:

Objective

To analyze the causes of elderly patients with hypoglycemia and coma in rural areas and to explore effective coping strategies.

Methods

The causes of 40 elderly patients with hypoglycemia in rural areas from January 2015 to October 2018 were retrospectively analyzed and summarized. Among them, 18 males and 22 females were aged 60-97 years with an average age of 75.68 ± 8.30 years. To analyze the correlation factors of hypoglycemia coma in elderly patients.

Result

The main cause of hypoglycemia and coma in rural elderly patients was that they did not eat or eat too much after using hypoglycemic drugs including oral hypoglycemic agents and subcutaneous insulin (32.50%), insufficient energy intake (12.50%), misadministration of hypoglycemic agents (12.50%), self-replacement of hypoglycemic agents (12.50%), overdose of hypoglycemic agents (12.50%), increased activity (2.50%) and other unknown reasons (15.00%). In addition, excessive drinking also affects the occurrence of hypoglycemia to a certain extent.

Conclusion

Although there are many reasons for hypoglycemia and coma in patients, the promotion of hypoglycemia risk in diabetic patients, especially to guide patients to eat hypoglycemic drugs in a timely manner, to strengthen the safety management of diabetes patients can reduce the occurrence of hypoglycemia .

Key words: Hypoglycemia coma, Cause analysis, Health education

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