Risk of hypoglycemia in patients with diabetes mellitus and comorbidities

Česká verzia

Authors: Marián Mokáň; Peter Galajda; Dana Prídavková
Authors place of work: I. Interná klinika JLF UK a UN Martin
Published in the journal: Forum Diab 2020; 9(1): 7-12
Category:

Summary

Hypoglycemia is the major limiting factor of the glycemic management in diabetic patients. The main risk factors of hypoglycemia include treatment modality (intensive insulin regiment, derivates of sulphonylurea, strict glycemic control, cardiovascular atherosclerotic disease, disorders of central nervous system (cognitive dysfunction, dementia, depression), diabetic kidney disease, hepatic disorders, cancers a concomitant treatment, including antihypertensive therapy by beta-blockers and inhibitors of system renin-angiotensin. In the case of presence of comorbidities we prefer antidiabetic treatment with low risk of hypoglycemia and with lesser strict glycemic control.

Keywords:

risk factors – cancers – cardiovascular diseases – diabetes mellitus – diabetic kidney disease – disorders of central nervous system – hepatic disorders – hypoglycemia

Zdroje

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