High prevalence of impaired awareness of hypoglycemia and severe hypoglycemia among people with insulin-treated type 2 diabetes: The Dutch Diabetes Pearl Cohort
- Van Meijel, L.A. (Lian A)
- Vegt, F. (Femmie) de
- Abbink, E.J. (Evertine)
- Rutters, F. (Femke)
- Schram, M.T. (Miranda T)
- Van Der Klauw, M.M. (Melanie M)
- Wolffenbuttel, B.H.R. (Bruce)
- Siegelaar, S. (Sarah)
- Devries, J.H. (Hans)
- Sijbrands, E.J.G. (Eric)
- Ozcan, B. (Behiye)
- Valk, H.W. (Harold) de
- Silvius, B. (Bianca)
- Schaper, N.
- Stehouwer, C.D. (Coen)
- Elders, P.J.M. (Petra)
- Tack, C.J. (Cees)
- De Galan, B.E. (Bastiaan E)
DOIAbstract
Objective People with type 2 diabetes on insulin are at risk for hypoglycemia. Recurrent hypoglycemia can cause impaired awareness of hypoglycemia (IAH), and increase the risk for severe hypoglycemia. The aim of this study was to assess the prevalence and determinants of self-reported IAH and severe hypoglycemia in a Dutch nationwide cohort of people with insulin-treated type 2 diabetes. Research design and methods Observational study of The Dutch Diabetes Pearl, a cohort of people with type 2 diabetes treated in primary, secondary and tertiary diabetes care centers. The presence of IAH and the occurrence of severe hypoglycemia in the past year, defined as an event requiring external help to re
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