Type 2 & other diabetes

The Risk of Severe Hypoglycemia and Mortality in Patients With Type 2 Diabetes and Discharged With Acute Liver Injury

Diabetes CarePublished Retrospective cohort study

Main finding · Severe hypoglycemiaResult — go to the resultAdjusted hazard ratio 1.92 CI 1.30–2.85

Authors' conclusion

This cohort study demonstrated that patients with T2D and discharged with acute liver injury showed significantly higher risks of severe hypoglycemia and mortality within 90 days and 365 days after discharge than patients discharged with other causes.

Study context

Population
Patients with T2D hospitalized 2000–2010, National Health Insurance Research Database of Taiwan
Exposure
T2D discharged with acute liver injury vs discharged with other causes
Outcome
Severe hypoglycemia and mortality
Follow-up
Within 90 days and 365 days after discharge
Methodological detailspopulation-based, multivariable-adjusted Cox proportional hazards models
  • Population-based
  • Multivariable-adjusted Cox proportional hazards models

Main finding

Severe hypoglycemia · within 90 days after discharge

Adjusted hazard ratio

1.92

CI 1.30–2.85

By group

Acute liver injury

12.28/1,000 person-years

Other causes

5.59/1,000 person-years

Acute liver injuryvs Other causes
aHR 1.92 (CI 1.30–2.85)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeAcute liver injuryOther causesaHR (CI)
Severe hypoglycemia · within 365 days after discharge7.35/1,000 person-years2.9/1,000 person-years1.98 (1.52–2.58)
Mortality · within 90 days after discharge82.4/1,000 person-years27.54/1,000 person-years1.73 (1.46–2.05)
Mortality · within 365 days after discharge36.8/1,000 person-years9.3/1,000 person-years1.94 (1.69–2.24)

Hypoglycemia risk subgroups (acute liver injury)

No significant interaction for age, CKD and medications; significant interaction for sex

Original publication

The Risk of Severe Hypoglycemia and Mortality in Patients With Type 2 Diabetes and Discharged With Acute Liver Injury. Diabetes Care. Published 15 November 2022. doi:10.2337/dc22-1349

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