Publications by authors named "Merlyn Asuncion"

3 Publications

  • Page 1 of 1

Increase in hypoglycemic admissions: California hospital discharge data.

Ethn Dis 2007 ;17(3):536-40

Divisions of General Internal Medicine and Geriatrics, Charles R. Drew University of Medicine and Science, Los Angeles, CA, USA.

Objectives: To compare the percentage of diabetics admitted to the hospital due to hypoglycemia in 1990-1993 (period 1) to that in 1997-2000 (period 2).

Methods: We analyzed data from the California Hospital Discharge Data Program. Eligibility included diabetic (ICD code 250) subjects aged > or =25 years old who were hospitalized due to hypoglycemia (ICD Codes 250.8) during the periods 1990-1993 and 1997-2000. Data were analyzed by demographics and health insurance status.

Results: Of the 2,905,091 hospitalized diabetics, 50,017 (1.7%) were due to hypoglycemia. The percentage of hospitalization due to hypoglycemic varied by sex, age, race/ethnicity, and insurance status (P = .0001). Male, Hispanic, age 25-64 years, with Medical/Medicare insurance had higher odds of being hospitalized due to hypoglycemia relative to other groups (P < .001). The percentage of diabetics hospitalized due to hypoglycemia increased from period 1 to period 2 (1.3% vs. 2.0%, P = .0001). Diabetics hospitalized in period 2 had higher adjusted odds of being hospitalized due to hypoglycemia relative to those admitted in period 1 (OR = 1.6, P < .0001).

Conclusion: Our data show an increase in the hospitalization due to hypoglycemia in diabetic patients. Enhanced patient education about self-monitoring of blood sugar and recognizing and treating the symptoms of hypoglycemia may help to minimize hypoglycemic hospitalizations.
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January 2008

Relationship of C-reactive protein and bone mineral density in community-dwelling elderly females.

J Natl Med Assoc 2005 Mar;97(3):329-33

Divisions of General Internal Medicine, Charles R Drew University of Medicine and Science, Los Angeles, CA 90059, USA.

Objective: Inflammatory cytokines have been shown to play an important role in bone remodeling. We hypothesized that higher levels of C-reactive protein (CRP) are associated with low bone mineral density (BMD) in elderly females.

Design: Secondary data analysis of the Third National Health and Nutrition Examination Survey.

Participants: 2,807 females 65 years and older.

Results: CRP was associated with BMD in the bivariate sis (p<0.001) but not in the multivariate analysis (p=0.23) Age, ethnicity, body mass index (BMI), hormone replacement therapy (HRT) and immobility were independently associated with BMD.

Conclusions: CRP may be useful in screening for osteoporosis among community-dwelling elderly females. However, CRP appears to act as a surrogate for other factorsdirectly associated with osteoporosis. Further studies are needed to validate these findings.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2568626PMC
March 2005

The associations of hormone replacement therapy and preventive practices in minority women.

J Natl Med Assoc 2005 Jan;97(1):68-73

Division of General Internal Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA 90059, USA.

Objectives: Minority women are less likely to use hormone replacement therapy (HRT), and the health characteristics associated with HRT use in this population are not well studied. We sought to examine the sociodemographic characteristics, health and preventive practices associated with HRT use among minority women.

Design: Survey

Setting: Inpatient and outpatient units of a teaching hospital.

Participants: A convenience sample of 333 minority women aged 50 and above.

Variables: HRT use, demographic and lifestyle characteristics, and selected preventive practices.

Results: 14% of the study population, all minority women were using HRT. Regular exercise (p=0.03), and good perceived health status (p=0.02) were significant predictors of HRT use. None of the cancer screening measures studied were associated with HRT use.

Conclusions: Only a small proportion of minority women were using HRT. Regular exercise and perceived good health were significant predictors of HRT use.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2568592PMC
January 2005