OUTCOMES OF HYPOGLYCEMIA IN DIABETIC PATIENTS

Manish Tiwari, MBBS, PhD, MPH1, Kathryn Cooper, PhD2, 1 , Omaha, NE; 2OMAHA

Meeting: Hospital Medicine 2019, March 24-27, National Harbor, Md.

Abstract number: 196

Categories: Hospital Medicine 2019, Outcomes Research, Research

Keywords: , ,

Background: Several studies have examined the impact of hypoglycemia in diabetic patients. These studies usually have reported relatively worse outcomes with hypoglycemia in diabetics. However, differences in outcomes in type I and II diabetes mellitus (DM) patients with hypoglycemia have not been well examined.

Methods: The objective of this study was to examine differences in outcomes between type I and II diabetic patients with hypoglycemia. A retrospective analysis using Vizient database was performed using ICD-10 codes. All adult patients with hypoglycemia were included in the study. To evaluate for differences in outcomes between type I and II diabetes patients, secondary diagnosis was added to the evaluation.

Results: A total of 16,836 patients were identified with principal diagnosis of hypoglycemia between 2015-2017. Of these, 2515 patients had type I diabetes and 14,321 patients had type II diabetes mellitus. Mortality was not significantly different in the two groups (1.51% in type I DM vs 1.28 % in type II DM; p=0.3941). Length of stay was higher in hypoglycemic patients with type I DM (4.85 ± 10.55 days in type I DM vs. 4.19 ± 6.14 days in type II DM; p=0.0023). Significantly increased ICU admission (19.56% in type I DM vs 12.85% in type II DM) and higher costs ($ 6887 ± 15,590 in type I DM vs 4529 ± 6999 in type II DM; p<0.0001) were noted in patients admitted with hypoglycemia in type I DM patients.

Conclusions: Hypoglycemia is a major complication in both type I and type II DM patients. Hospitalized patients with hypoglycemia in the setting of type I DM have worse outcomes compared to type II DM patients with hypoglycemia.

To cite this abstract:

Tiwari, MM; Cooper, KM. OUTCOMES OF HYPOGLYCEMIA IN DIABETIC PATIENTS. Abstract published at Hospital Medicine 2019, March 24-27, National Harbor, Md. Abstract 196. https://www.shmabstracts.com/abstract/outcomes-of-hypoglycemia-in-diabetic-patients/. Accessed November 16, 2019.

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