Diabetes Care: Severe hypoglycemia and risk of falls in people with type 2 diabetes

It is speculated that hypoglycemiaincreases the risk of falls in theof type 2 diabetesthe elderlyHowever, few studies have looked forward to the link between severe hypoglycemia and falls, which are important causes of morbidity and mortality, a study published in diabetes journal Diabetes Care, researchers conducted a forward-looking cohort analysis of participants whodiagnoseddiabetes during the fourth follow-up to the Community Atherosclerosis Risk (ARIC) study (1996-1998)The code for hospitalization, emergency visits and calls to an ambulance in the ninth edition of the International Classification of Diseases identifies severe hypoglycemia events that require treatmentFrom 1996 to 2013, the total number of falls was determined in medical claims using E-codesSecondary analysis assessed hospitalization sfalls and falls with fracturesThe researchers calculated the incidence and used the Cox regression model to assess the independent association between severe hypoglycemia and a fall after the fourth follow-up in 2013149 of 1,162 diabetics had severe hypoglycemia events before or during the median follow-up period at 13.1 years before baselineThe incidence of falls in patients without severe hypoglycemia was 2.17 (PY) per 100 people per year (95% CI was 1.93-2.44), while the incidence of falls in patients with severe hypoglycemia was 100PY (6.73-11.53)After adjustment, the risk of falls in patients with severe hypoglycemia more than tripled (the risk was 1.61-3.07 compared to 2.23, 95% CI)In subgroups defined by age, gender, race, BMI, duration of diabetes, or dysfunction, the associations are consistent in this community-based adult population, severe hypoglycemia is significantly associated with a risk of falls The risk of falls should be considered when treating personalized blood sugar in the elderly Assessing a history of hypoglycemia and future low blood sugar risk can also improve multifactory prevention of falls in older diabetics