Prevalence of hypoglycemia among diabetic old age home residents in South India

Chandrakumar, Abin; Pv, Vikas; Tharakan, Pretty Geevarghese; Aravind, C

doi:10.1016/j.dsx.2015.10.012

Cited by 5 publications

(1 citation statement)

References 10 publications

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“…[68] Hypoglycemia rates were similar among patients treated with insulin and non-insulin mediations. Two other studies that focused on nursing home residents in the U.S. [69] and India [70] demonstrated comparable rates of hypoglycemia.…”

Section: Frequency Of Hypoglycemia In Real-world Studiesmentioning

confidence: 93%

Hypoglycemia Among Patients with Type 2 Diabetes: Epidemiology, Risk Factors, and Prevention Strategies

et al. 2018

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Reported rates of hypoglycemia in type 2 diabetes vary widely as there is marked heterogeneity in how hypoglycemia is defined, measured, and reported. In randomized controlled trials, rates of severe hypoglycemia ranged from 0.7 to 12 per 100 person-years. In observational studies, hospitalizations or emergency department visits for hypoglycemia were experienced by 0.2 (patients treated without insulin or sulfonylurea) to 2.0 (insulin or sulfonylurea users) per 100 person-years. Patient-reported hypoglycemia is much more common. Over the course of 6 months, 1-4% non-insulin users reported need for medical attention for hypoglycemia; 1-17%, need for any assistance; and 46-58%, any hypoglycemia symptoms. Similarly, over a 12-month period, 4-17% of insulin-treated patients reported needing assistance and 37-64% experienced any hypoglycemic symptoms. Hypoglycemia is most common among older patients with multiple or advanced comorbidities, patients with long diabetes duration, or patients with a prior history of hypoglycemia. Insulin and sulfonylurea use, food insecurity, and fasting also increase hypoglycemia risk. Clinical decision support tools may help identify at-risk patients. Prospective trials of efforts to reduce hypoglycemia risk are needed, and there is emerging evidence supporting multidisciplinary interventions including treatment de-intensification, use of diabetes technologies, diabetes self-management, and social support. Hypoglycemia among patients with type 2 diabetes is common. Patient-centered multidisciplinary care may help proactively identify at-risk patients and address the multiplicity of factors contributing to hypoglycemia occurrence.

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Section: Frequency Of Hypoglycemia In Real-world Studiesmentioning

confidence: 93%