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Hypoglycaemia in the elderly

S K Teo1, C H Ee

  • 1Department of Medicine, Changi Hospital, Singapore.

Singapore Medical Journal
|April 8, 1998
PubMed
Summary
This summary is machine-generated.

Hypoglycaemia in the elderly is often caused by medications and disease, but is usually reversible. Recommendations include regular meals, home glucose monitoring, and careful prescribing of diabetes drugs.

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Area of Science:

  • Geriatrics
  • Endocrinology
  • Internal Medicine

Background:

  • Hypoglycaemia (low blood sugar) is a significant concern in the elderly population.
  • Understanding its causes and consequences is crucial for effective management and prevention.

Purpose of the Study:

  • To determine the prevalence, presentation, causes, and consequences of hypoglycaemia in elderly patients.
  • To develop preventive recommendations for managing hypoglycaemia in this demographic.

Main Methods:

  • A retrospective review of case records was conducted.
  • Data from 1,919 admissions over a 26-month period were analyzed.

Main Results:

  • 45 cases of hypoglycaemia were identified in elderly patients (average age 76.2 years).

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  • Common causes included medications (e.g., glibenclamide) and diseases (e.g., psychiatric illness with poor intake), often in combination.
  • Most cases were reversed with glucose administration, with minimal morbidity.

    • Conclusions:

    • Emphasize regular meals for elderly patients on hypoglycaemic agents.
    • Recommend home glucose monitoring for diabetic elderly patients.
    • Advise caution in prescribing hypoglycaemic agents, considering renal function and avoiding long-acting sulfonylureas.