8 Geographical distribution of diabetes complications may, therefore, contribute to clarify the existence of patterns that may be affected by societal peculiarities. 4 These may include cultural and socioeconomic barriers that affect healthcare delivery, such as low literacy, social support or communication with healthcare providers. 7 Indeed, it showed that hypoglycemic episodes experienced by a large Spanish population dwelling in Andalusia (Spain) were common emergencies requiring in situ emergency care, transfer and hospital care for less than 24 hours that accounted for an annual cost of over €6 000 000.Īs diabetes management mainly lies in outpatient care, complications derived from the uncontrolled disease may also depend on factors outside the hospital setting. 6 Our previous assessments of out-of-hospital emergency care due to hypoglycemia also supported high resource utilization and costs for the Spanish healthcare system. 3 In Spain, a self-reported survey in patients with diabetes showed that 30% of responders with severe hypoglycemia required emergency hospital care and 19% hospital admission. 3 5 Insulin-related hypoglycemia was responsible for nearly 100 000 visits per year to US emergency departments. 2 These episodes often require emergency department visits and hospital admissions, 3 4 especially when patients are elderly.
1 The occurrence of hypoglycemic events is one of the most serious acute complications in patients with diabetes, which may entail sequelae and fatal consequences if the glycemic state is not controlled. Hypoglycemia incidence was higher within unemployed individuals (β=0.003, p=0.001) and unemployed women (β=0.005, p=0.001), while lower within individuals aged 64 years, lower rate of hypoglycemia was associated with more single-person homes (β=−0.008, p=0.022) and sports facilities (β=−0.342, p=0.012).ĭiabetes is a lifelong disease that has become a global concern worldwide due to its increasing prevalence and a wide range of potential complications that may impact both patient daily living and national healthcare systems. There were significant differences in hypoglycemia incidence between basic healthcare zones attributable to their geographical location in the overall population (Moran’s I index 0.122, z-score 7.870, p=0.001), women (Moran’s I index 0.088, z-score 6.285, p=0.001), men (Moran’s I index 0.076, z-score 4.914, p=0.001) and aged >64 years (Moran’s I index 0.147, z-score 9.753, p=0.001). The search you are about to conduct on this website is a people search to find initial results of the search subject.Results The EPES attended 1 137 738 calls requesting medical assistance, with a mean hypoglycemia incidence of 95.0☖1.6 cases per 100 000 inhabitants. for any unlawful purposes, and you understand that we cannot confirm that information provided
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