Volume 8, Issue 4 (Autumn 2020)                   Iran J Health Sci 2020, 8(4): 10-19 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Aminiahidashti H, Assadi T, Montazer S H, Bahar A, Nozari M, Hosseininejad S M. Associated Factors with Hyperglycemia in Diabetic Patients Admitted to Emergency Department. Iran J Health Sci 2020; 8 (4) :10-19
URL: http://jhs.mazums.ac.ir/article-1-739-en.html
Mazandaran University of Medical Sciences, Sari, Iran
Abstract:   (1580 Views)
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.
Full-Text [PDF 418 kb]   (966 Downloads)    


Type of Study: Original Article | Subject: Hospital Management

1. Shafiee G, Bandarian F, Ghodsi M, Nasli-Esfahani E, Larijani B. Iran Diabetes Research Roadmap (IDRR) Study; Trends of Pub-lications in Management of Diabetes in Iran. Iranian Journal of Public Health.2017;46(Supple1):3-9. [DOI:10.1186/s40200-016-0277-z] [PMID] [PMCID]
2. Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes research and clinical practice. 2010;87(1):4-14. [DOI:10.1016/j.diabres.2009.10.007] [PMID]
3. Narayan KV, Boyle JP, Geiss LS, Saaddine JB, Thompson TJ. Impact of recent increase in incidence on future diabetes burden: US, 2005-2050. Diabetes care. 2006;29(9):2114-6. [DOI:10.2337/dc06-1136] [PMID]
4. Menke A, Casagrande S, Geiss L, Cowie CC. Prevalence of and trends in diabetes among adults in the United States, 1988-2012. Jama. 2015;314(10):1021-9. [DOI:10.1001/jama.2015.10029] [PMID]
5. Kea B, Fu R, Lowe RA, Sun BC. Interpreting the National Hospital Ambulatory Medical Care Survey: United States Emergency Department Opioid Prescribing, 2006-2010. Acad Emerg Med. 2016;23(2):159-65. [DOI:10.1111/acem.12862] [PMID] [PMCID]
6. Sabzghabaei A, Mirbaha S, Shojaee M. Acute Metabolic Complications of Diabetes in Emergency Department. Iranian Journal of Emergency Medicine. 2017;4(2):83-90.
7. Wolfsdorf JI, Allgrove J, Craig ME, Edge J, Glaser N, Jain V, et al. Diabetic ketoacidosis and hyperglycemic hyperosmolar state. Pediatric diabetes. 2014; 15(S20):154-79. [DOI:10.1111/pedi.12165] [PMID]
8. Rhee MK, Slocum W, Ziemer DC, Culler SD, Cook CB, El-Kebbi IM, et al. Patient adherence improves glycemic control. The Diabetes Educator. 2005;31(2):240-50. [DOI:10.1177/0145721705274927] [PMID]
9. Ahmadi A, Hasanzadeh J, Rahimi M, Lashgari L. Factors affecting the quality of life in patients with type 2 diabetes Chahar Mahal Bakhtiari. Journal of North Khorasan University of Medical Science.2011;3(1):7-13. [DOI:10.29252/jnkums.3.1.1]
10. Guariguata L, Whiting DR, Hambleton I, Beagley J, Linnenkamp U, Shaw JE. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes research and clinical practice. 2014;103(2):137-49. [DOI:10.1016/j.diabres.2013.11.002] [PMID]
11. Umpierrez G, Korytkowski M. Diabetic emergencies- ketoacidosis, hyperglycaemic hyperosmolar state and hypoglycaemia. Nature Reviews Endocrinology.2016;12(4):222. [DOI:10.1038/nrendo.2016.15] [PMID]
12. Yan JW, Gushulak KM, Columbus MP, van Aarsen K, Hamelin AL, Wells GA, et al. Risk factors for recurrent emergency department visits for hyperglycemia in patients with diabetes mellitus. International Journal of Emergency Medicine. 2017;10(1):23-31. [DOI:10.1186/s12245-017-0150-y] [PMID] [PMCID]
13. Shin YJ, Kim DI, Lee DW, Jeon BK, Ji JG, Lim JA, et al. Clinical and biochemical characteristics of elderly patients with hyperglycemic emergency state at a single institution. Annals of Geriatric Medicine and Research. 2017;20(4):185-9. [DOI:10.4235/agmr.2016.20.4.185]
14. Shani M, Taylor TR, Vinker S, Lustman A, Erez R, Elhayany A, et al. Characteristics of diabetics with poor glycemic control who achieve good control. The Journal of the American Board of Family Medicine. 2008;21(6):490-6. [DOI:10.3122/jabfm.2008.06.070267] [PMID]
15. Mojtabai R, Olfson M. Medication costs, adherence, and health outcomes among Medicare beneficiaries. Health Affairs. 2005;22(4):220-9. [DOI:10.1377/hlthaff.22.4.220] [PMID]
16. Hernandez AF, Greiner MA, Fonarow GC, Hammill BG, Heidenreich PA, Yancy CW, et al. Relationship between early physician follow-up and 30-day readmission among Medicare beneficiaries hospitalized for heart failure. Jama. 2010;303(17):1716-22. [DOI:10.1001/jama.2010.533] [PMID]
17. Sharma G, Kuo Y-F, Freeman JL, Zhang DD, Goodwin JS. Outpatient follow-up visit and 30-day emergency department visit and readmission in patients hospitalized for chronic obstructive pulmonary disease. Archives of internal medicine. 2010;170(18):1664-70. [DOI:10.1001/archinternmed.2010.345] [PMID] [PMCID]
18. Saikumar S, Giridhar A, Mahesh G, Elias A, Bhat S. Awareness about eye diseases among diabetic patients: a survey in South India. Community Eye Health. 2007;20(61):16.23.
19. Ozieh MN, Bishu KG, Dismuke CE, Egede LE. Trends in health care expenditure in US adults with diabetes: 2002-2011. Diabetes care. 2015;38(10):1844-51. [DOI:10.2337/dc15-0369] [PMID] [PMCID]
20. Wang J, Geiss LS, Williams DE, Gregg EW. Trends in emergency department visit rates for hypoglycemia and hyperglycemic crisis among adults with diabetes, United States, 2006-2011.PloSone. 2015;10(8):e0134917. [DOI:10.1371/journal.pone.0134917] [PMID] [PMCID]
21. Basu AK. DNA damage, mutagenesis and cancer. International journal of molecular sciences. 2018;19(4):970. [DOI:10.3390/ijms19040970] [PMID] [PMCID]
22. Singh VP, Bali A, Singh N, Jaggi AS. Advanced glycation end products and diabetic complications. The Korean Journal of Physiology & Pharmacology. 2014;18(1):1-14. [DOI:10.4196/kjpp.2014.18.1.1] [PMID] [PMCID]
23. Li L, Wu C-S, Hou G-M, Dong M-Z, Wang Z-B, Hou Y, et al. Type 2 diabetes increases oocyte mtDNA mutations which are eliminated in the offspring by bottleneck effect. Reproductive Biology and Endocrinology. 2018;16(1):110.115. [DOI:10.1186/s12958-018-0423-1] [PMID] [PMCID]
24. Palermo NE, Modzelewski KL, Farwell AP, Fosbroke J, Shankar KN, Alexanian SM, et al. Open access to diabetes center from the emergency department reduces hospitalizations in the susequent year. Endocrine Practice. 2016;22(10):1161-9. [DOI:10.4158/E161254.OR] [PMID]
25. Magee MF, Nassar CM, Mete M, White K, Youssef GA, Dubin JS. The synergy to enable glycemic control following emergency department discharge program for adults with type 2 diabetes: step-diabetes. Endocrine Practice. 2015;21(11):1227-39. [DOI:10.4158/EP15655.OR] [PMID]
26. Chung N, Rascati K, Lopez D, Jokerst J, Garza A. Impact of a clinical pharmacy program on changes in hemoglobin A1c, diabetes-related hospitalizations, and diabetes-related emergency department visits for patients with diabetes in an underserved population. Journal of Managed Care Pharmacy. 2014;20(9):914-9. [DOI:10.18553/jmcp.2014.20.9.914] [PMID]

Add your comments about this article : Your username or Email:

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.


Designed & Developed by : Yektaweb