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dc.contributor.authorEdridge, CL
dc.contributor.authorDunkley, AJ
dc.contributor.authorBodicoat, DH
dc.contributor.authorRose, TC
dc.contributor.authorGray, LJ
dc.contributor.authorDavies, MJ
dc.contributor.authorKhunti, K
dc.date.accessioned2020-12-22T02:43:15Z
dc.date.available2020-12-22T02:43:15Z
dc.date.issued2015-06-10
dc.identifierpii: PONE-D-15-00548
dc.identifier.citationEdridge, C. L., Dunkley, A. J., Bodicoat, D. H., Rose, T. C., Gray, L. J., Davies, M. J. & Khunti, K. (2015). Prevalence and Incidence of Hypoglycaemia in 532,542 People with Type 2 Diabetes on Oral Therapies and Insulin: A Systematic Review and Meta-Analysis of Population Based Studies. PLOS ONE, 10 (6), https://doi.org/10.1371/journal.pone.0126427.
dc.identifier.issn1932-6203
dc.identifier.urihttp://hdl.handle.net/11343/257697
dc.description.abstractOBJECTIVE: To collate and evaluate the current literature reporting the prevalence and incidence of hypoglycaemia in population based studies of type 2 diabetes. RESEARCH DESIGN AND METHODS: Medline, Embase and Cochrane were searched up to February 2014 to identify population based studies reporting the proportion of people with type 2 diabetes experiencing hypoglycaemia or rate of events experienced. Two reviewers independently screened studies for eligibility and extracted data for included studies. Random effects meta-analyses were carried out to calculate the prevalence and incidence of hypoglycaemia. RESULTS: 46 studies (n = 532,542) met the inclusion criteria. Prevalence of hypoglycaemia was 45% (95%CI 0.34,0.57) for mild/moderate and 6% (95%CI, 0.05,0.07) for severe. Incidence of hypoglycaemic episodes per person-year for mild/moderate and for severe was 19 (95%CI 0.00, 51.08) and 0.80 (95%CI 0.00,2.15), respectively. Hypoglycaemia was prevalent amongst those on insulin; for mild/moderate episodes the prevalence was 50% and incidence 23 events per person-year, and for severe episodes the prevalence was 21% and incidence 1 event per person-year. For treatment regimes that included a sulphonylurea, mild/moderate prevalence was 30% and incidence 2 events per person-year, and severe prevalence was 5% and incidence 0.01 events per person-year. A similar prevalence of 5% was found for treatment regimes that did not include sulphonylureas. CONCLUSIONS: Current evidence shows hypoglycaemia is considerably prevalent amongst people with type 2 diabetes, particularly for those on insulin, yet still fairly common for other treatment regimens. This highlights the subsequent need for educational interventions and individualisation of therapies to reduce the risk of hypoglycaemia.
dc.languageEnglish
dc.publisherPUBLIC LIBRARY SCIENCE
dc.titlePrevalence and Incidence of Hypoglycaemia in 532,542 People with Type 2 Diabetes on Oral Therapies and Insulin: A Systematic Review and Meta-Analysis of Population Based Studies
dc.typeJournal Article
dc.identifier.doi10.1371/journal.pone.0126427
melbourne.affiliation.departmentGeneral Practice
melbourne.source.titlePLoS One
melbourne.source.volume10
melbourne.source.issue6
dc.rights.licenseCC BY
melbourne.elementsid996589
melbourne.contributor.authorKhunti, Kamlesh
dc.identifier.eissn1932-6203
melbourne.accessrightsOpen Access


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