Diabetes complications

Gender differences in hypoglycaemia in type 1 and insulin-treated type 2 diabetes: the Hypo-METRICS study

DiabetologiaPublished Prospective cross-sectional observational study

Authors' conclusion

Despite similar exposures to hypoglycaemia, there were differences in hypoglycaemia symptoms between genders in this free-living environment.

Study context

Population
People with T1D or insulin-treated T2D in a free-living environment (Hypo-METRICS study); T1D cohort 54% women, 76% routine continuous glucose monitor (CGM) users; T2D cohort 63% men, 41% routine CGM users274 T1D, 321 T2D
Exposure
Women vs men
Outcome
Symptomatic hypoglycaemia episodes per week
Methodological details10-week, free-living environment, blinded CGM
  • 10-week
  • Free-living environment
  • Blinded CGM

Main finding

As reported in the abstract

No significant differences in time in hypoglycaemia between genders in either cohort
all p>0.05

Observational data: associations, not effects.

Further findings

Confusion as the only reported hypoglycaemia symptom, T1D cohort

OutcomeWomenMen
Confusion alone, T2D cohort— not stated in the abstract0.3% of symptomatic episodes

— not stated in the abstract

Time in hypoglycaemia

No significant differences in time in hypoglycaemia between genders in either cohort
all p>0.05

Confusion alone, T2D cohort

Confusion alone was not observed in women

Symptom combinations, T1D cohort

Women reported a broader range of symptom combinations, spanning autonomic and neuroglycopenic symptoms

Symptom combinations, T2D cohort

More symptom combinations; both genders reported a combination of autonomic and neuroglycopenic symptoms

Original publication

Gender differences in hypoglycaemia in type 1 and insulin-treated type 2 diabetes: the Hypo-METRICS study. Diabetologia. Published 20 June 2026. doi:10.1007/s00125-026-06775-6

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