ISSN: 2578-4641
Authors: Ademolu AB*
Introduction: This article proposes ADEMOLUS HYPOGLYCEMIC INDEX (AHI) which is a mathematical representation of hypoglycemic episode in a patient with recurrent hypoglycemia over a consecutive three months period. Methodology: This is a retrospective study of 65 hypoglycemic episodes (HE) occurring in six randomly selected diabetes mellitus patients from 86 case files studied who had attended the endocrinology unit of the Lagos State University Teaching Hospital Ikeja Lagos Nigeria. The data was analysed by using Ademolus Classification of hypoglycemia and the 2018 ADA/EASD Classification of hypoglycaemia to define hypoglycemia. AHI was calculated from the HE using the proposed mathematical formula. SPSS version 23 was used for data analysis. Results: In all, 65 hypoglycemic episodes occurring in 6 diabetic’s patient were studied using ADEMOLUS HYPOGLYCEMIC INDEX. All six patients had a series of hypoglycaemic episodes occuring in three consecutive months. Patient 1 had an AHI of 0.53 using both ACH and ADA/EASD classification. Discussion: In patient 1 her AHI was not in the severe range. In patient 3, in the last quarter of 2016, her AHI was 0.60, in the first quarter of 2017, her AHI was zero, then between June, July and August 2017 her AHI was 0.64. At this juncture in this patient management, it will be good to evaluate the aetiological factors in this chronic kidney disease diabetic patient who once again has started having recurrent hypoglycemia as it was some six months earlier. Conclusion: Ademolus Hypoglycemic Index (AHI) is relevant for monitoring of chronic or long term recurrent HE in susceptible individuals.
Keywords: Ademolus Classification of Hypoglycemia; Ademolus Hypoglycemic Index; Hypoglycemia; Diabetes
