Hypoglycemia Heart Problems Type 2 Diabetes
High blood sugar (hyperglycemia) isn’t the only thing that’s dangerous for patients with diabetes. Low blood sugar can also do damage.
Type 2 diabetes patients with hypoglycemia may have a higher risk of heart problems, hospitalization and death, according to a recent study.
Results showed that diabetes patients had these increased risks whether they had mild or severe hypoglycemia. That is, any amount of low blood sugar was associated with an increased risk of complications.
Past research has shown that low blood sugar can lead to serious health problems in patients with type 2 diabetes. However, the outcomes of diabetes patients with mildly low blood sugar is still unclear. To address this issue, Pai-Feng Hsu, MD, of Taipei Veterans General Hospital in Taiwan, and colleagues studied the outcomes of diabetes patients who had experienced periods of low blood sugar.
Higher Complication Rates
Compared to those without low blood sugar, patients who experienced either mild or severe low blood sugar had higher rates of complications, including:
- high blood pressure
- kidney disease
- heart disease
The researchers also found that patients with either mild or severe low blood sugar had a higher risk of:
- heart disease, with a hazard ratio of 2.09
- hospitalization from any cause, with a hazard ratio of 2.51
- death, with a hazard ratio of 2.48
A hazard ratio explains how much an event happens in one group versus another. A hazard ratio of more than 1.0 means the event happens more often in the first group.
In this case, the events were heart disease, hospitalization and death. All of the hazard ratios were more than 2.0, indicating that those with low blood sugar had significantly higher risks of these events than those without low blood sugar.
According to the authors, these findings suggest that diabetes patients with episodes of low blood sugar may need more attention from their doctors.
The study included 77,611 patients who experienced 1,844 episodes of low blood sugar. Of these episodes, 500 were severe and 1,344 were mild.
Health-e-Solutions comment: Well-controlled blood sugars includes keeping the lows up and the highs down. Eating in such a way that makes this more controllable is important and we think the Roman Diet can help. The foods in the Roman Diet are very low-glycemic, which often requires considerably less exogenous insulin, or sometimes none at all. That makes controlling blood sugars easier with less chance of big insulin dosing mistakes.
Our Consultations and Workshops are also suggested for personalizing the Health-e-Solutions lifestyle for your unique situation. Once you complete either a live Workshop or the Home Study Course, you will be eligible for our Extended Support Service, which provides unlimited email and secret Facebook page support for those serious about mastering diabetes the healthiest way possible.
Source: Diabetes Care, Dec. 5, 2012