Effect of Blood Glucose Monitored Before Dialysis on Hypoglycemia During Dialysis in Adult Acute Hemodialysis Patients: A Multicenter Study

with hyperglycemia and hypoglycemia occur (2).Hemodialysis treatment can cause glycemic fluctuations due to decreased plasma glucose concentrations and insulin levels.Therefore, especially in diabetic hemodialysis patients, control of blood glucose and adjustment of drug doses are important (3).In the study by Kang et al. (2), hypoglycemia was observed in 16.8% of diabetic hemodialysis patients and 6.9% of non-diabetic patients in the first year of dialysis.Hayashi et al. (4) reported that although dialysate containing 100-150 mg/dL glucose was used in diabetic patients receiving hemodialysis treatment, hemodialysis-induced hypoglycemia unconsciousness Abs tractAim: Individuals receiving hemodialysis treatment may observe glucose fluctuations due to decreased plasma glucose concentration and insulin level.The aim of this study was to evaluate pre-dialysis blood glucose measurements in acute hemodialysis patients to reduce complications that may occur during this process. Methods:The study design was an observational-retrospective one.A total of 200 files belonging to the last 3 months in three centers were scanned between August 1, 2022, and September 30, 2022.While the files were being scanned, the 30-question "Hypoglycemia in Hemodialysis" patient form was used, and the IBM Statistical package for the social sciences 26.0 statistical program was used to evaluate the data.Results: Hypoglycemia developed during hemodialysis in 4 of 104 patients whose blood glucose was checked before hemodialysis and in 2 of 96 patients whose blood glucose was not measured.It was determined that there was no significant difference (p>0.05) in terms of the rate of development of hypoglycemia between patients whose blood glucose levels were checked before hemodialysis and those who did not. Conclusion:The study's results suggest that acute hemodialysis patients' pre-dialysis hypoglycemia does not influence the hypoglycemia that develops during the session.