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Research article:

HbA1C variability and hypoglycemia hospitalization in adults with type 1 and type 2 diabetes: a nested case-control study

Reference:

Victor W. Zhong; Juhaeri Juhaeri; Stephen R. Cole; Christina M. Shay; Penny Gordon-Larsen; Evangelos Kontopantelis; Elizabeth J Mayer-Davis(2017) HbA1C variability and hypoglycemia hospitalization in adults with type 1 and type 2 diabetes: a nested case-control study. Journal of Diabetes and its Complications, doi: http://dx.doi.org/10.1016/j.jdiacomp.2017.10.008

Link to article
Abstract
Aims: To determine association between HbA1C variability and hypoglycemia requiring hospitalization (HH) in adults with type 1 diabetes (T1D) and type 2 diabetes (T2D). Methods: Using nested case-control design in electronic health record data in England, one case with first or recurrent HH was matched to one control who had not experienced HH in incident T1D and T2D adults. HbA1C variability was determined by standard deviation of ≥3 HbA1C results. Conditional logistic models were applied to determine association of HbA1C variability with first and recurrent HH. Results: In T1D, every 1.0% increase in HbA1C variability was associated with 90% higher first HH risk (95% CI, 1.25-2.89) and 392% higher recurrent HH risk (95% CI, 1.17- 20.61). In T2D, a 1.0% increase in HbA1C variability was associated with 556% higher first HH risk (95% CI, 3.88-11.08) and 573% higher recurrent HH risk (95% CI, 1.59-28.51). In T2D for first HH, the association was the strongest in non-insulin non-sulfonylurea users (P<0.0001); for recurrent HH, the association was stronger in insulin users than sulfonylurea users (P=0.07). The HbA1C variability-HH association was stronger in more recent years in T2D (P≤0.004). Conclusions: HbA1C variability is a strong predictor for HH in T1D and T2D.
Author for correspondence
Elizabeth J Mayer-Davis
Email for correspondence
mayerdav@email.unc.edu

Code list: res50: thiazolidinediones

27 codes in list

Code Coding system Description Entity type List name drugsubstance bnfcode bnfchapter
10051 CPRD_product_code Pioglitazone 45mg tablets drug res50: thiazolidinediones Pioglitazone hydrochloride 06010203 Other Antidiabetic Drugs
11601 CPRD_product_code Rosiglitazone 2mg / Metformin 500mg tablets drug res50: thiazolidinediones Rosiglitazone maleate/Metformin hydrochloride 00000000 Unknown
11604 CPRD_product_code Rosiglitazone 1mg / Metformin 500mg tablets drug res50: thiazolidinediones Rosiglitazone maleate/Metformin hydrochloride 00000000 Unknown
11717 CPRD_product_code Rosiglitazone 2mg / Metformin 1g tablets drug res50: thiazolidinediones Metformin hydrochloride/Rosiglitazone maleate 00000000 Unknown
13628 CPRD_product_code Romozin 400mg Tablet (Glaxo Wellcome UK Ltd) drug res50: thiazolidinediones Troglitazone 06010203 Other Antidiabetic Drugs
14164 CPRD_product_code Avandamet 2mg/1000mg tablets (GlaxoSmithKline UK Ltd) drug res50: thiazolidinediones Metformin hydrochloride/Rosiglitazone maleate 00000000 Unknown
15232 CPRD_product_code Avandia 8mg tablets (GlaxoSmithKline UK Ltd) drug res50: thiazolidinediones Rosiglitazone maleate 00000000 Unknown
17580 CPRD_product_code Avandamet 1mg/500mg tablets (GlaxoSmithKline UK Ltd) drug res50: thiazolidinediones Rosiglitazone maleate/Metformin hydrochloride 00000000 Unknown
18220 CPRD_product_code Pioglitazone 15mg / Metformin 850mg tablets drug res50: thiazolidinediones Metformin hydrochloride/Pioglitazone hydrochloride 06010203 Other Antidiabetic Drugs
19472 CPRD_product_code Actos 45mg tablets (Takeda UK Ltd) drug res50: thiazolidinediones Pioglitazone hydrochloride 06010203 Other Antidiabetic Drugs
20287 CPRD_product_code Actos 15mg tablets (Takeda UK Ltd) drug res50: thiazolidinediones Pioglitazone hydrochloride 06010203 Other Antidiabetic Drugs
20889 CPRD_product_code Actos 30mg tablets (Takeda UK Ltd) drug res50: thiazolidinediones Pioglitazone hydrochloride 06010203 Other Antidiabetic Drugs
31077 CPRD_product_code Competact 15mg/850mg tablets (Takeda UK Ltd) drug res50: thiazolidinediones Metformin hydrochloride/Pioglitazone hydrochloride 06010203 Other Antidiabetic Drugs
37617 CPRD_product_code Rosiglitazone 2mg tablet drug res50: thiazolidinediones Rosiglitazone Maleate 06010203 Other Antidiabetic Drugs
469 CPRD_product_code Rosiglitazone 4mg tablets drug res50: thiazolidinediones Rosiglitazone maleate 00000000 Unknown
48120 CPRD_product_code Avandia 2mg Tablet (GlaxoSmithKline UK Ltd) drug res50: thiazolidinediones Rosiglitazone Maleate 06010203 Other Antidiabetic Drugs
48139 CPRD_product_code Pioglitazone 30mg tablets (A A H Pharmaceuticals Ltd) drug res50: thiazolidinediones Pioglitazone hydrochloride 06010203 Other Antidiabetic Drugs
5227 CPRD_product_code Rosiglitazone 8mg tablets drug res50: thiazolidinediones Rosiglitazone maleate 00000000 Unknown
548 CPRD_product_code Pioglitazone 15mg tablets drug res50: thiazolidinediones Pioglitazone hydrochloride 06010203 Other Antidiabetic Drugs
56208 CPRD_product_code Pioglitazone 15mg tablets (A A H Pharmaceuticals Ltd) drug res50: thiazolidinediones Pioglitazone hydrochloride 06010203 Other Antidiabetic Drugs
56376 CPRD_product_code Rosiglitazone 4mg with glimepiride 4mg tablet drug res50: thiazolidinediones Rosiglitazone Maleate 06010201/06010203 Sulphonylureas/Other Antidiabetic Drugs
57659 CPRD_product_code Pioglitazone 30mg tablets (Actavis UK Ltd) drug res50: thiazolidinediones Pioglitazone hydrochloride 06010203 Other Antidiabetic Drugs
6855 CPRD_product_code Avandamet 2mg/500mg tablets (GlaxoSmithKline UK Ltd) drug res50: thiazolidinediones Rosiglitazone maleate/Metformin hydrochloride 00000000 Unknown
7325 CPRD_product_code Avandamet 4mg/1000mg tablets (GlaxoSmithKline UK Ltd) drug res50: thiazolidinediones Metformin hydrochloride/Rosiglitazone maleate 00000000 Unknown
7375 CPRD_product_code Rosiglitazone 4mg / Metformin 1g tablets drug res50: thiazolidinediones Metformin hydrochloride/Rosiglitazone maleate 00000000 Unknown
9662 CPRD_product_code Avandia 4mg tablets (GlaxoSmithKline UK Ltd) drug res50: thiazolidinediones Rosiglitazone maleate 00000000 Unknown
9699 CPRD_product_code Pioglitazone 30mg tablets drug res50: thiazolidinediones Pioglitazone hydrochloride 06010203 Other Antidiabetic Drugs

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