Type 2 & other diabetes

Cardiac arrhythmia and hypoglycaemia among individuals with and without diabetes receiving haemodialysis (the CADDY study): a Danish multicentre cohort study

DiabetologiaPublished Prospective cohort study

Authors' conclusion

Arrhythmias and hypoglycaemia were common in those undergoing haemodialysis regardless of diabetes status. Our data suggest a temporal relationship between arrhythmias and glucose level in both individuals with and without diabetes.

Study context

Population
Individuals on maintenance haemodialysis, Danish multicentre
Participants
70 individuals
Exposure
Individuals with diabetes vs without diabetes on haemodialysis
  • Diabetesn = 35
  • Without diabetesn = 35reference
Outcome
Clinically significant arrhythmias (bradyarrhythmia and ventricular tachycardia)
Follow-up
18 months
Methodological detailsmulticentre, implantable cardiac monitors, periodic CGM
  • Multicentre
  • Implantable cardiac monitors
  • Periodic CGM

Main finding

As reported in the abstract

Observational data: associations, not effects.

Further findings

AF · 18 months of follow-up

Other supraventricular tachycardia · 18 months of follow-up

Hypoglycaemia (sensor glucose <3.9 mmol/l) · 18 months of follow-up

OutcomeIRR (95% CI)
Arrhythmia rate with hypoglycaemiavs euglycaemia, participants without diabetesWithout diabetes3.13 (1.49–6.55)
Arrhythmia rate with hyperglycaemia (sensor glucose >10.0 mmol/l)vs euglycaemia, participants with diabetesDiabetes0.58 (0.37–0.92)

Glycaemic variability and arrhythmias

Glycaemic variability showed no association with arrhythmias regardless of diabetes

Original publication

Cardiac arrhythmia and hypoglycaemia among individuals with and without diabetes receiving haemodialysis (the CADDY study): a Danish multicentre cohort study. Diabetologia. Published 28 February 2025. doi:10.1007/s00125-025-06388-5

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