Study on Ademolus Hypoglycemic Index | Chapter 15 | Highlights on Medicine and Medical Science Vol. 17

 The ADEMOLUS HYPOGLYCEMIC INDEX (AHI) is proposed in this article as a mathematical depiction of a hypoglycemic event over a three-month period in a patient with recurrent hypoglycemia.

Methodology: A retrospective examination of 65 hypoglycemia episodes (HE) in six randomly selected diabetes mellitus patients from 86 case files examined at the Lagos State University Teaching Hospital in Ikeja, Lagos, Nigeria.

To detect hypoglycemia, the data was analysed using the Ademolus Hypoglycemia Classification and the 2018 ADA/EASD Hypoglycemia Classification. To calculate AHI from HE, the given mathematical formula was employed. SPSS version 23 was used to analyse the data.

Results: In six diabetic individuals, the ADEMOLUS Hypoglycemia INDEX was employed to analyse 65 hypoglycemic episodes. Over the course of three months, each of the six people had a series of hypoglycemic episodes. Patient 1 had an AHI of 0.53, according to both the ACH and the ADA/EASD classifications.Patient 1 had an AHI that was not in the severe range. In patient 3, her AHI was 0.60 in the fourth quarter of 2016, zero in the first quarter of 2017, and then 0.64 in June, July, and August 2017. It would be prudent to investigate the aetiological causes in this diabetic patient with chronic kidney disease who suffers recurrent hypoglycemia, as it was six months ago, at this point in the patient's care. The formula can be programmed or automated into a device such as a calculator, or a web-based ADEMOLUS HYPOGLYCEMIC INDEX calculator can be created.

Conclusion: The Ademolus Hypoglycemic Index (AHI) can help diabetic and non-diabetic patients track chronic or long-term recurring HE.

Author (S) Details

Adegbenga B. Ademolu
Department of Medicine, Lagos State University Teaching Hospital, Nigeria.

View Book :- https://stm.bookpi.org/HMMS-V17/article/view/2618

A Review of Gestational Diabetes Mellitus and Ademolus Classification of Hypogly| Chapter 5| Highlights on Medicine and Medical Science Vol. 11

Hyperglycemia found at any stage during pregnancy should be classed as diabetes mellitus in pregnancy or gestational diabetes mellitus, according to the World Health Organization. Women with diabetes and women with intermediate hyperglycemia, impaired glucose tolerance (IGT), and impaired fasting glycemia (IFG) as described in non-pregnant individuals are included in current definitions of gestational diabetes. The use of insulin in gestational diabetes mellitus is recommended at a category B level, whereas the use of an oral hypoglycemic medication is recommended at a category C level. The risk of hypoglycemia in both the mother and the foetus is the same regardless of whether glucose lowering drug is taken, whether injectable or oral. This feature is what makes the Ademolus Classification of Hypoglycaemia (ACH) a useful tool in evaluating hypoglycemia complicating the management of gestational diabetes mellitus. It's worth noting that outcomes from research on maternal hypoglycemia varied, owing in part to discrepancies in hypoglycemia definitions. This is one of the knowledge gaps and disputes that Ademolus Classification of Hypoglycemia in Gestational Diabetes Mellitus Management Complication will help to address. It will assist to unify the concept of hypoglycemia regardless of race and allow for objective data comparison. ACH will make continuous glucose monitoring interpretation easier. The more we use ACH, the more we will notice gaps in our existing knowledge, gain insight into hypoglycemia complicating gestational diabetes mellitus, and become more scientifically knowledgeable, as it will open up a new path of scientific understanding of fetomaternal pathophysiology for the benefit of mankind.

Author (s) Details

Dr. Adegbenga B. Ademolu
Medicine Department, Lagos State University Teaching Hospital, Lagos, Nigeria.

View Book :- https://stm.bookpi.org/HMMS-V11/article/view/2498