Type 2 & other diabetes

Risk of Severe Hypoglycemia Associated With Concomitant Use of Sulfonylureas and Amiodarone

Diabetes Obes MetabPublished Population-based cohort study

Main finding · Severe hypoglycaemiaResult — go to the resultWeighted hazard ratio 1.92 95% CI 1.12–3.30

Authors' conclusion

Initiation of amiodarone in patients receiving sulfonylureas was associated with a higher risk of hypoglycemia compared with other antiarrhythmics.

Study context

Population
Adults ≥18 years with T2D initiating oral antiarrhythmic therapy while on SU, 2011–2022, South Korean National Health Insurance Service claims; prior first-generation SU, meglitinide, insulin or antiarrhythmic use excluded
Participants
12,730 adults
Exposure
Amiodarone vs comparator antiarrhythmics initiated during SU treatment
  • Amiodaronen = 5,325
  • Comparator antiarrhythmicsn = 7,405reference
Outcome
Severe hypoglycaemia: hospital admission or ED visit with primary diagnosis of hypoglycaemia
Methodological detailspropensity score overlap weighting, weighted Cox models
  • Propensity score overlap weighting
  • Weighted Cox models

Main finding

Severe hypoglycaemia

Weighted hazard ratio

1.92

95% CI 1.12–3.30

Amiodaronevs Comparator antiarrhythmics
weighted HR 1.92 (95% CI 1.12–3.30)

As reported in the abstract

Observational data: associations, not effects.

Further findings

The increased risk persisted across multiple sensitivity and subgroup analyses

Original publication

Risk of Severe Hypoglycemia Associated With Concomitant Use of Sulfonylureas and Amiodarone. Diabetes Obes Metab. Published 28 July 2026. doi:10.1111/dom.71082

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