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42 a. Contre-régulation dans le diabète de type 1, p.42 ,
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la répartition des HS sur le nycthémère est presque répartie en quatre quarts. La matinée, de 07-13h, est légèrement plus fréquente avec 36% des évènements contre ,
horaire de survenue de l'hypoglycémie est beaucoup plus fréquent durant la matinée avec 26 patients soit près de 46%. En revanche, la nuit profonde est représentée par 12 patients ce qui la place en deuxième place à près de 21% ,
6h est moins prononcée ici avec 18 patients soit 32% des situations Un jeûne de 3 à 6h est présent chez 16 (28,6%) patients et seulement 10 ,
nous avons pris en charge 86 HS chez des patients diabétiques (DT1 et DT2) L'extrapolation sur une année donnerait 141 HS soit un taux d'incidence d'une HS, ayant nécessité l'aide d'un tiers, 2014. ,
le traitement le plus pourvoyeur d'HS, est présente chez 89,5% des patients dont 26 ,
erreur diététique, engendrant une inadéquation entre l'apport glucidique et les posologies des traitements antidiabétiques Mais dans près de 40% des cas, il n'y a pas de circonstances aiguës retrouvées. Plus de 46% des patients sont dans le coma avec une glycémie moyenne de 48 ? 33 mg Cela justifie les 90,7% d'intervention dont 55,8% par un SMUR. La glycémie moyenne lors de l'arrivée des secours est de 51 ? 37 mg, seulement 45,3% des patients ont pu bénéficier d'un resucrage per os avant la prise en charge des secours. Le resucrage IV est la modalité la plus employée par les secours avec 62 ,
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