Resumen

GONZALEZ FERNANDEZ, Pedro; GONZALEZ FERNANDEZ, Ciro; ALVAREZ GONZALEZ, Miguel Ángel  y  GARCIA SAEZ, Julieta. Clinical features of hypoglycemic episodes in children and adolescents presenting with type 1 diabetes seen in "William Soler" Children Hospital. Rev Cubana Endocrinol [online]. 2010, vol.21, n.3, pp. 279-296. ISSN 1561-2953.

INTRODUCTION: hypoglycemia is the more frequent complication in the treatment of diabetes mellitus and for some it is a more serious problem associated with the disease. OBJETIVE: to determine the frequencies and the clinical features of hypoglycemia in a group of diabetic children and adolescents diagnosed with type 1 diabetes mellitus seen in the Endocrinology of the "William Soler" Children Hospital from January, 1987 and January, 2000. Medical records, general data of patient, insulin therapy , results of glycosylated hemoglobin were registered, as well as the recounted hypoglycemia episodes which were classified as slight and severe. RESULTS: there was a high frequency of hypoglycemia episodes (56,25 %). The first severe hypoglycemia was registered as more frequent at the age group of 5 years. The first severe hypoglycemia episode occurred before the first year of diagnosis of diabetes mellitus. Patients under a intensive regime had a greater percentage of episodes of severe hypoglycemia than those under a conventional regime. The metabolic control not influenced in occurrence of severe hypoglycemia episodes. CONCLUSIONS: the above mentioned episodes had a high frequency with predominance of the severe ones during the dawn and with more involvement in the group aged under 5 being a neurodevelopmental affection of development in this age group.

Palabras clave : Hypoglycemia; type 1 diabetes mellitus; insulin hypoglycemia; nocturnal hypoglycemia.

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