Analysis of Risk Factors for Hypoglycemia in Patients with Diabetes

Objective To investigate the risk factors of hypoglycemia in patients with diabetes.Methods 82 patients of hypoglycemia with diabetes were selected as the hypoglycemia group and 98 diabetic patients without hypoglycemia were selected as the control group.The risk factors of hypoglycemia in patients with diabetes were analyzed.Results Risk factors included gender,age,course of diabetes,improper diet,change of treatment strategies,improper movement,infection history,liver and renal dysfunction,cognitive impairment,experience of diabetes health education,treatment with other drugs and living alone.Comparative analysis of the above risk factors showed that the rates of change of treatment strategies,liver dysfunction,renal dysfunction and cognitive impairment were significantly higher than that in control group,and the rates of the experience of diabetes health education was significantly lower than that in control group with statistical significance(P0.05).However,multivariate logistic regression analysis revealed that gender,age,course of diabetes,improper diet,improper movement,infection history,liver and renal dysfunction,treatment with other drugs and living alone were confounding factors.Change of treatment strategy(P=0.003,OR=2.833),cognitive impairment(P=0.013,OR=2.668) and experience of diabetes health education(P=0.002,OR=0.349) were significantly related to hypoglycemia in patients with diabetes.Based on an overall consideration of odds ratio(OR) with 95% of confidence interval(CI),we found that change of treatment strategies and cognitive impairment were the independent risk factors for hypoglycemia in patients with diabetes,and experience of diabetes health education was independent protective factors.Conclusion Change of treatment strategies and cognitive impairment are the independent risk factors for hypoglycemia in patients with diabetes,and strengthened health education about the disease will result in a significant decrease in the incidence rate of hypoglycemia diabetes.