Ongoing burden and recent trends in severe hospitalised hypoglycaemia events in people with type 1 and type 2 diabetes in Scotland: A nationwide cohort study 2016–2022
Authors' conclusion
Despite advances in care, SHH remains a significant problem in diabetes. Future efforts must address the large socioeconomic disparities in SHH risks.
Study context
- Population
- People with T1D and T2D alive anytime during 2016–2022, Scottish National diabetes register (SCI-Diabetes)
- Exposure
- Severe hospitalised hypoglycaemia (SHH) rates by time, age, sex and socioeconomic status
- Outcome
- Annual severe hospitalised hypoglycaemia (SHH) rates, overall and by age, sex and socioeconomic status
- Follow-up
- 2016-2022
Methodological detailspopulation-based registry linkage, adjusted generalised additive models
- Population-based registry linkage
- Adjusted generalised additive models
Main finding
As reported in the abstract
SHH rates by sociodemographic stratum
Rate ratio (95% CI)
Femalesvs MalesT2D; 15% higher rates in females
1.15(1.08–1.22)
Most deprived quintilevs Least deprived quintileT1D; higher in most deprived
2.58(2.27–2.93)
Most deprived quintilevs Least deprived quintileT2D; higher in most deprived
2.33(2.08–2.62)
- T1D aged under 20: rates reached minimum at the 2020-2021 transition, below the study period average
- 30%
Observational data: associations, not effects.
Original publication
Ongoing burden and recent trends in severe hospitalised hypoglycaemia events in people with type 1 and type 2 diabetes in Scotland: A nationwide cohort study 2016–2022. Diabetes Res Clin Pract. Published 27 March 2024. doi:10.
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