Abstract

Ojectives: To describe characteristics of hypoglycemia in type 2 diabetes mellitus patients with chronic kidney disease stage 35. Methods: A cross sectional study was conducted on a total of 147 diabetes type 2 mellitus patients with chronic kidney disease stage 3 5 who are hospitalized for hypoglycemia or hypolycemia ocurring during inpatient treatment in National Hospital of Endrocrinology. Results: Mean age: 68,9 ± 8,8. Mean duration of typ2 diabetes mellitus: 16,7 ± 7,3; the proportion of patients with diabeets duration over 15 years: 61,9%. 25,1% patients had history of severe hypoglycemia, 41.5% CKD 4-5,40% asymptomtomatic hypoglycemia. Common autonomic nervous system symptoms: sweaty, hunger and tremors (70.6%, 77.9% and 70.6%). Symptons of CNS are usually mild: fatigue (36.4%), dizziness (43.6%) and blurred vision (45.5%). Conclusions: Hypoglycemia in type 2 diabetes patients with chronic kidney disease is common in patients with a long duration disease and often asymptomatic.