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Date Published: 02/08/2024
Online Published: 02/08/2024
Abstract Views: 46
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DOI: https://doi.org/10.58490/ctump.2024i77.2560
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No. 77 (2024): HỘI NGHỊ THƯỜNG NIÊN HỌC VIÊN – SINH VIÊN NGHIÊN CỨU KHOA HỌC LẦN THỨ IV NĂM 2024
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Nguyen, H. H., Ngo, V. T., Nguyen, H. H., & Nguyen, N. N. P. (2024). SURVEY OF SOME FACTORS RELATED TO ORTHOSTATIC HYPOTENSION DUE TO AUTONOLOGIC NEUROPATHY IN TYPE 2 DIABETES MELLITUS IN OLDER ADULTS AT CAN THO GENERAL HOSPITAL IN 2023-2024. Cantho Journal of Medicine and Pharmacy, 77, 30-36. https://doi.org/10.58490/ctump.2024i77.2560

SURVEY OF SOME FACTORS RELATED TO ORTHOSTATIC HYPOTENSION DUE TO AUTONOLOGIC NEUROPATHY IN TYPE 2 DIABETES MELLITUS IN OLDER ADULTS AT CAN THO GENERAL HOSPITAL IN 2023-2024

Hoai Han Nguyen1,, Van Truyen Ngo2, Hong Ha Nguyen2, Ngoc Nha Phuong Nguyen3
1 Kien Giang Centers For Disease Control and Prevention Can Tho University of Medicine and Pharmacy
2 Can Tho University of Medicine and Pharmacy
3 Kien Giang Medical college

Main Article Content

Abstract

Background: Type 2 diabetic mellitus in older adults patients have many acute and chronic complications, including autonomic nerve complications with clinical symptoms of orthostatic hypotension that cause falls, strokes, and other cardiovascular diseases. Objectives: To survey some factors related to orthostatic hypotension due to autonomic neuropathy in older adults, type 2 diabetes patients in Can Tho General Hospital in 2023-2024. Materials and method: Crosssectional descriptive study of 204 older adults type 2 diabetes patients coming for examination and treatment at the Medical Examination Department, Can Tho General Hospital, from May 2023 to April 2024. Results: The incidence of orthostatic hypotension due to autonomic neuropathy in Type 2 diabetic mellitus in older adult patients was 28.9% (59/204 patients). Orthostatic hypotension due to autonomic neuropathy in type 2 diabetic mellitus in older adult patients is associated with fasting blood glucose control (OR=2.92; 95% CI: 1.16 - 7.35), time to detect diabetes (OR=3.52; 95%CI: 1.84 - 6.71), and HbA1c index (OR=6.26; 95%CI: 3.21 - 12.24); all have p < 0.05. Conclusion: Type 2 diabetic mellitus in older adults patients with long duration of disease and poor glycemic control are at higher risk of autonomic orthostatic hypotension than those with short duration and controlled diabetes and control blood sugar better.  

Article Details

Keywords

Orthostatic hypotension, type 2 diabetes, autonomic nervous system

References

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