Hypoglycemia during Short-Term Intensive Insulin Therapy and Its Association with Long-Term Glycemic Remission in Patients with Newly Diagnosed Type 2 Diabetes
Table 3
Influence factors of one-year euglycemia remission.
Odds ratio
95% CI for OR
value
(A) Overall analysis
Gender
1.342
0.632~2.850
0.444
Age
0.992
0.961~1.024
0.616
BMI at baseline
1.055
0.949~1.172
0.323
HDL-C at baseline
0.446
0.123~1.613
0.218
Mild hypoglycemia (3.0~3.9 mmol/L)
2.184
1.015~4.699
0.046
Mean insulin dose (IU/day)
0.992
0.962~1.023
0.605
FPG after treatment
0.641
0.456~0.902
0.011
PPG after treatment
0.912
0.787~1.056
0.217
AIR after treatment
1.000
1.000~1.001
0.849
HOMA-IR after treatment
0.976
0.807~1.181
0.806
(B) Stratified analysis
Gender
1.439
0.673~3.077
0.348
Men
Women
Age (years)
0.901
0.588~1.380
0.633
<45
45-55
>55
BMI at baseline (kg/m2)
1.062
0.639~1.767
0.816
<24
24-28
>28
HDL-C at baseline (mmol/L)
0.623
0.305~1.269
0.192
<1.0
≥1.0
Total episodes of mild hypoglycemia
1.593
1.153~2.201
0.005
None
1-2
3-5
>5
Mean insulin dose (IU/day)
0.903
0.509~1.600
0.726
<30
30-40
>40
FPG after treatment (mmol/L)
0.661
0.442~0.989
0.044
<5.0
5.0-6.0
6.1-7.0
>7.0
PPG after treatment (mmol/L)
0.697
0.467~1.039
0.076
<6.0
6.0-8.0
8.1-10.0
>10.0
AIR after treatment (pmol/L·10 min)
1.333
0.718~2.472
0.362
<0
0-430
>430
HOMA-IR after treatment
1.271
0.666~2.426
0.466
<2.25
≥2.25
means . BMI: body mass index; FPG: fasting plasma glucose; PPG: postprandial plasma glucose; HDL-C: high-density lipoprotein cholesterol; AIR: acute insulin response; HOMA-IR: homeostasis model assessment of insulin resistance. The median levels of AIR and HOMA-IR were 430 pmol/L·10 min and 2.25, respectively. Age, BMI, HDL-C, total episodes of mild hypoglycemia, mean insulin dose, FPG, and PPG were stratified according to the characteristics of clinical indicators. AIR and HOMA-IR were stratified based on the median levels.