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. 2023 Feb 1;46(2):e69-e71.
doi: 10.2337/dc22-1673.

Rates of Hypoglycemic and Hyperglycemic Emergencies Among U.S. Adults With Diabetes, 2011-2020

Rozalina G McCoy  1   2 , Jeph Herrin  3 , Rodolfo J Galindo  4 , Kavya Sindhu Swarna  2   5 , Guillermo E Umpierrez  4 , Sherita Hill Golden  6   7 , Patrick J O'Connor  8
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Rates of Hypoglycemic and Hyperglycemic Emergencies Among U.S. Adults With Diabetes, 2011-2020

Rozalina G McCoy et al. Diabetes Care. .
No abstract available

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Figures

Figure 1
Figure 1
Trends in the rates of severe hypoglycemic and hyperglycemic events among people with type 1 diabetes (A) and type 2 diabetes (B) from 2011 to 2020. Rates of severe hypoglycemia and hyperglycemia were calculated as marginal probabilities using logistic regression models (individual models for type 1 and type 2 diabetes for each outcome of severe hypoglycemia and hyperglycemia), adjusted for patient age, sex, race, ethnicity, and U.S. region. P values assess trends in event rates over time, with the null hypothesis of no change over time. Coding methodology for severe hypoglycemia and hyperglycemia changed between 2015 and 2016 due to transition from ICD-9 to ICD-10 codes, affecting hypoglycemia ascertainment more than severe hyperglycemia due to greater availability of hypoglycemia ICD-10 codes than ICD-9 codes.
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References

    1. American Diabetes Association . 6. Glycemic Targets: Standards of Medical Care in Diabetes—2022. Diabetes Care 2022;45:S83–S96 - PubMed
    1. McCoy RG, Galindo RJ, Swarna KS, et al. . Sociodemographic, clinical, and treatment-related factors associated with hyperglycemic crises among adults with type 1 or type 2 diabetes in the US from 2014 to 2020. JAMA Netw Open 2021;4:e2123471. - PMC - PubMed
    1. McCoy RG, Lipska KJ, Van Houten HK, Shah ND. Association of cumulative multimorbidity, glycemic control, and medication use with hypoglycemia-related emergency department visits and hospitalizations among adults with diabetes. JAMA Netw Open 2020;3:e1919099. - PMC - PubMed
    1. Centers for Disease Control and Prevention . United States Diabetes Surveillance System. Accessed 21 July 2020. Available from https://gis.cdc.gov/grasp/diabetes/DiabetesAtlas.html#
    1. Blecker S, Jones SA, Petrilli CM, et al. . Hospitalizations for chronic disease and acute conditions in the time of COVID-19. JAMA Intern Med 2021;181:269–271 - PMC - PubMed

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