小児糖尿病患者における重症低血糖に関するアンケート調査

A questionnaire survey on severe hypoglycemia (SH) in pediatric patients with diabetes was distributed to pediatric diabetes specialists and members of the Committee of Pediatric Diabetes in the Japan Diabetes Society. Twenty-five patients under 15 years old in 11 hospitals experienced SH from January 2017 to December 2021. SH most frequently occurred in patients 10-15 years old and between 0:00 and 08:00 a.m. The majority of the patients had SH at home during the nighttime. Only four patients experienced SH during school hours. Eleven patients took glucose orally, while five used glucagon nasal powder. Fifteen patients were transferred to hospital emergency units for the management of SH. Based on these results, the frequency of SH was estimated to be 0.01/patient/year, and the treatment for SH seemed insufficient.