Ramazan Ayında Hipo veya Hiperglisemi ile Acil Servise Başvuran Hastaların Analizi

Year 2021, , 179 - 183, 28.12.2021

Ekim Sağlam Gürmen , Kivanç Karaman , Yunus Emre Özlüer , Serkan Dogan , Doğaç Niyazi Özüçelik

https://doi.org/10.47572/muskutd.784721

Abstract

Bu çalışma ile Ramazan ayında acil servise başvuran diyabetik hastaların glisemik profilinin ortaya konulması amaçlandı. Acil servise hipo veya hiperglisemi ile başvuran ve oruç tuttuğunu ifade eden, 18 yaş üstü hastaların dosyaları geriye dönük olarak incelendi. Çalışmaya 161 (%95.3)’i hiperglisemi, 8 (%4.7)’i hipoglisemi nedeniyle başvuran toplam 169 (139 diyabetik, 30 diyabeti olmayan) hasta dahil edildi. Hastaların kan glukoz düzeyi 36 mg/dl ile 736 mg/dl arasında değişirken, ortalama 279±127 mg/dl olarak hesaplandı. 163 (%96.4) hastanın acil servisten taburcu edildiği, 4 (%2.4) vakanın sevk edildiği ve sadece 2 (%1.2) hastanın hastaneye yatırıldığı görüldü. Ramazan ayında ortaya çıkabilecek metabolik bozukluklar ve semptomlarının titiz takibi ile bilgilendirildikten sonra, diyabetik hastaların herhangi bir ekstra diyet ve ilaç protokolü izlemeden oruç tutabilecekleri görülmektedir. Diyabeti olmayan kişilerde de Ramazan ayında hipo veya hiperglisemi atağı görülebilir. Bu hastaların özellikle prediyabetik durum ve hipo veya hiperglisemiyi tetikleyebilecek altta yatan hastalıklar açısından tetkik edilmesi gereklidir.

Keywords

Diyabet, Oruç, Hiperglisemi, Hipoglisemi

Analysis of Emergency Department Admissions with Hypo or Hyperglycemia in the Month of Ramadan

Abstract

In this study, we aimed to identify the glycemic profile of patients admitted to our emergency department during Ramadan. The charts of patients aged 18 years and over who had been fasting religiously and admitted to the Emergency Service with hyperglycemia or hypoglycemia during the month of Ramadan, were reviewed retrospectively. 169 patients (30 non-diabetic, 139 diabetic) were found to be admitted with hyperglycemia (161 cases, 95.3%) or hypoglycemia (8 cases, 4.7%). The blood glucose level ranged from 30 to 736, with an mean of 279±127 mg/dl. 163 cases (96.4%) were discharged from the hospital, 4 cases (2.4%) were referred to another hospital, and only 2 cases (1.2%) were hospitalized. After being informed about the metabolic disturbances that might occur during Ramadan and by meticulous follow-up of their symptoms, there is no harm in terms of urgent complications in the religious fasting of diabetes mellitus patients without complying any extra diet or medication protocol. Non-Diabetic patient scan undergo episodes of hypo or hyperglycemia during Ramadan. Such patients should be investigated for the presence of a prediabetic status or an underlying disease that can trigger a hyper or hypoglycemic episode.

Keywords

Diabetes Mellitus, Fasting Religiously, Hyperglycemia, Hypoglycemia

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