Citation

Signorovitch JE, Macaulay D, Diener M, Yan Y, Wu EQ, Gruenberger JB, Frier BM. Diabetes Obes. Metab. 2013; 15(4): 335-341.

Affiliation

Analysis Group, Inc, Boston, Massachusetts.

Copyright

(Copyright © 2013, John Wiley and Sons)

DOI

10.1111/dom.12031

PMID

23121373

Abstract

AIMS: To assess associations between hypoglycaemia and risk of accidents resulting in hospital visits among people with type 2 diabetes receiving anti-diabetes drugs without insulin. MATERIALS AND METHODS: People with type 2 diabetes who were not treated with insulin were identified from a US-based employer claims database (1999-2010). Following initiation of an anti-diabetes drug, the occurrence of accidents resulting in hospital visits was compared between people with, and without, claims for hypoglycaemia using multivariable Cox proportional hazard models adjusted for demographics, comorbidities, prior treatments and prior medical service use. Additional analyses were stratified by age 65 years or older. RESULTS: A total of N=5,582 people with claims for hypoglycaemia and N=27,910 with no such claims were included. Accidents resulting in hospital visits occurred in 5.5% and 2.8% of people with, and without, hypoglycaemia, respectively. After adjusting for baseline characteristics, hypoglycaemia was associated with significantly increased hazards for any accident (hazard ratio [HR] 1.39, 95% CI 1.21-1.59, p<0.001), accidental falls (HR 1.36, 95% CI 1.13-1.65, p<0.001), and motor vehicle accidents (HR 1.82, 95% CI 1.18-2.80, p=0.007). In age-stratified analyses, hypoglycaemia was associated with greater hazards of driving-related accidents in people younger than age 65 and falls in people aged 65 or older. CONCLUSIONS: In people with type 2 diabetes receiving anti-diabetes drugs without insulin, hypoglycaemia was associated with a significantly higher risk of accidents resulting in hospital visits, including accidents related to driving and falls.

Language: en