Research Article

Frequency and Predictors of Self-Reported Hypoglycemia in Insulin-Treated Diabetes

Table 1

Characteristics of patients with insulin-treated diabetes participating in the study.

Patient characteristicsAll patients
Mean ± SD, range or n (%) patients
Type 1 diabetes
Mean ± SD, range or n (%) patients
Type 2 diabetes
Mean ± SD, range or n (%) patients
value

Number of patients (%)298 (100)133 (44.6)165 (55.4)
Age (years)60.54 ± 16.6452.11 ± 17.1967.33 ± 12.630.001
Males153/14562 (46.6)83 (50)0.606
BMI (kg/m2) [mean ± SD]30.38 ± 7.4526.38 ± 4.6633.58 ± 7.730.001
Known duration of diabetes (years) [mean ± SD]21.43 ± 14.6225.26 ± 16.7518.11 ± 11.580.001
Daily insulin dose (units/day) [mean ± SD]66.48 ± 56.0549.04 ± 26.9174.59 ± 63.800.001
Daily insulin dose/BMI (units/kg/m2/day) [mean ± SD]2.06 ± 1.35 ()1.84 ± 0.91 ()2.16 ± 1.52 ()0.307
HbA1c (%) [mean ± SD]7.77 ± 1.257.94 ± 1.947.64 ± 1.270.032
<731 (23.3)48 (28.9)
7-836 (27.1)59 (35.5)
>866 (49.6)58 (34.9)
SD around mean SMBG68.71 ± 17.0478.93 ± 2.0460.47 ± 1.690.001
Lowest SMBG reading [mean ± SD]49.69 ± 15.7840.98 ± 9.5456.71 ± 16.330.001
Number of daily insulin injections [mean ± SD]3.87 ± 0.93 (median 4, range 1–6)4.12 ± 0.48 (median 4, range 2–6)3.73 ± 1.08 (median 4, range 1–5)0.001
MDI86 (64.7)165 (100)
Insulin pump47 (35.3)None
HTN170 (57.0)47 (35.3)123 (74.5)0.001
CAD74 (24.8)19 (14.3)55 (33.3)0.001
Nephropathy102 (34.2)27 (20.3)75 (45.2)0.001
Retinopathy (n, %)63 (21.1)32 (24.1)31 (18.8)0.334
Depression (n, %)49 (16.4)16 (12.0)33 (20.0)0.091
Caucasians (n, %)265 (88.9)128 (96.2)137 (83.1)0.001
All hypoglycemic episodes6100 events4583 events in 133 (100%) patients1517 events in 136 (82%) patients0.000
All hypoglycemic episodes per person per year [OR (95% CI)]81.9 (80.0 to 82.9)137.8 (135.9 to 139.8)36.8 (35.9 to 37.7)0.000
No hypoglycemic episodes29 (9.7%)0 (0%)29 (17.6%)
1–10 hypoglycemic episodes in 3 months269 (90.3%)16 (12%)86 (52.1%)
>10 hypoglycemic episodes in 3 months167 (56.0%)117 (88%)50 (30.3%)
Severe hypoglycemic episodes762643 events in 91 (68%) patients119 events in 32 (19%) patients0.000
Severe hypoglycemic episodes per person per year [OR (95% CI)]10.2 (9.9 to 10.6)19.3 (18.6 to 20.1)2.9 (2.6 to 3.2)0.000
No severe hypoglycemic episodes175 (58.7%)42 (31.6%)133 (80.6%)
1–10 severe hypoglycemic episodes in 3 months123 (41.3%)73 (54.9%)31 (18.8%)
>10 severe hypoglycemic episodes in 3 months19 (6.4%)18 (13.5%)1 (0.6%)