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Table 2 Clinical characteristics, use of the emergency room and hospitalizations among patients with type 1 diabetes affiliated to the Mexican Institute of Social Security

From: Socio-demographic and clinical characteristics of type 1 diabetes patients associated with emergency room visits and hospitalizations in Mexico

 

N = 192 (%)

Clinical characteristics

 Age at the beginning of diabetes, years, mean (Standard Deviation -SD-)

13.8 (6.6)

 Diabetes duration

   < 10 years

19.3

   ≥ 10 years < 15 years

21.3

   ≥ 15 years < 20 years

18.2

   ≥ 20 years

14.2

 BMI (kg/m2), mean (SD)

25.1 (4.3)

 Nutritional status

  Underweight < 18.5 kg/m2

3.1

  Normal weight (BMI 18.5–24.9 kg/m2)

49.5

  Overweight (BMI 25.0–29.9 kg/m2)

34.9

  Obesity (BMI of 30 or higher kg/m2)

12.5

 Systolic Blood Pressure, mmHg (SD)

107.0 (15.3)

 Diastolic blood pressure, mmHg (SD)

70.9 (9.6)

 HbA1c, %, mean (SD)

9.2 (2.2)

  HbA1c < 7%

13.6

  HbA1c > 9%

46.6

 Triglyceride, mg/dl, mean (SD)

145.7 (185.2)

 Total Cholesterol, mg/dl, mean (SD)

179.7 (46.8)

 HDL, mg/dl, mean (SD)

 

  Men

N = 54: 49.1 (16.5)

  Women

N = 128: 53.2 (16.6)

 LDL, mg/dl, mean (SD)

100.9 (35.9)

 Creatinine clearance, mL/min, mean (SD)

  Men

N = 51: 79.4 (40.7)

  Women

N = 122: 74.4 (37.1)

Diabetic complications

 Number of diabetic chronic complications

  Without diabetic chronic complications

35.4

  One diabetic complication

26.0

  Two diabetic complications

21.4

  Three or more diabetic complications

17.2

 Microvascular chronic complicationsa

64.1

  Nephropathy

41.2

  Retinopathy

40.6

  Neuropathy

30.2

  Foot ulcers and amputations

5.7

 Macrovascular chronic complications

8.3

 Severe acute diabetic complications during 2016a

19.3

  Severe hypoglycemia

11.9

  Ketoacidosis

8.3

 Comorbidity

 

  Hypertension

29.7

  Depression

5.7

  Other

50.5

Insulin therapy

 Insulin monotherapy

16.1

 Combination of intermediate and fast acting insulin

47.4

 Combination of fast-acting and long-acting insulin

36.5

Number of consultations with endocrinologist, mean (SD)

3.14 (1.5)

Use of the emergency room and hospitalizations during 2016

 Visits to the emergency room

  0

61.0

  1

23.4

  2

10.9

   ≥ 3

4.7

 Causes of the emergency room visitsa

N = 75

  Hyperglycemia

29.3

  Hypoglycemia

26.7

  Acute nephritic syndrome

6.7

  Acute urinary infection

6.7

  Other causes related to diabetes

2.7

  Causes not related to diabetes

28.0

 Number of hospital admissions

N = 192

  0

66.1

  1

21.9

  2

5.7

   ≥ 3

6.3

 Causes of hospitalizationsa

N = 65

  Hyperglycemia

24.6

  Ketoacidosis

21.5

  Hypoglycemia

13.8

  Due to chronic diabetes complications

26.2

  Causes not related to diabetes

13.8

  Duration of hospitalizations, days, mean (SD)

10.7 (10.1)

  1. aThe chronic microvascular complications or severe acute diabetic complications are presented as percentages; however, the sum of the percentages of each type of complication does not add up to 100%, as patients can have more than one acute or chronic complications, since these complications are not mutually exclusive. The same rule is applicable for the causes of emergency room visits and diabetes-related hospitalizations