Severe hypoglycemia and falls in older adults with diabetes: The Diabetes & Aging Study

IF 1 Q4 ENDOCRINOLOGY & METABOLISM Diabetes epidemiology and management Pub Date : 2023-10-01 DOI:10.1016/j.deman.2023.100162

Howard H. Moffet , Elbert S. Huang , Jennifer Y. Liu , Melissa M. Parker , Kasia J. Lipska , Neda Laiteerapong , Richard W. Grant , Alexandra K. Lee , Andrew J. Karter

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Abstract

Objective

To estimate rates of severe hypoglycemia and falls among older adults with diabetes and evaluate their association.

Research Design and Methods

Survey in an age-stratified, random sample adults with diabetes age 65–100 years; respondents were asked about severe hypoglycemia (requiring assistance) and falls in the past 12 months. Prevalence ratios (adjusted for age, sex, race/ethnicity) estimated the increased risk of falls associated with severe hypoglycemia.

Results

Among 2,158 survey respondents, 79 (3.7%) reported severe hypoglycemia, of whom 68 (86.1%) had no ED visit or hospitalization for hypoglycemia. Falls were reported by 847 (39.2%), of whom 745 (88.0%) had no fall documented in outpatient or inpatient records. Severe hypoglycemia was associated with a 70% greater prevalence of falls (adjusted prevalence ratio = 1.7 (95% CI, 1.3–2.2)).

Conclusion

While clinical documentation of events likely reflects severity or care-seeking behavior, severe hypoglycemia and falls are common, under-reported life-threatening events.

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老年糖尿病患者的严重低血糖和跌倒:糖尿病与衰老研究

目的评估老年糖尿病患者的严重低血糖和跌倒发生率，并评价其相关性。研究设计与方法对年龄分层、随机抽样的65-100岁成人糖尿病患者进行调查;受访者被问及在过去12个月内是否有严重低血糖(需要帮助)和跌倒的情况。流行率(根据年龄、性别、种族/民族进行调整)估计与严重低血糖相关的跌倒风险增加。结果2158名调查对象中，79人(3.7%)报告有严重低血糖，其中68人(86.1%)未因低血糖而就诊或住院。847人(39.2%)报告跌倒，其中745人(88.0%)在门诊或住院记录中没有跌倒记录。严重低血糖与跌倒发生率增加70%相关(校正患病率= 1.7 (95% CI, 1.3-2.2))。结论:虽然事件的临床记录可能反映了严重程度或求医行为，但严重低血糖和跌倒是常见的，未被报道的危及生命的事件。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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