Prevalence
Causes
Clinical
features
Investigations
Therapy
Prevention
Prognosis
|  |  | | Clinical
features |
Ask about
-
glycaemic
control
a
b
and HbA1c levels
b
-
any previous episodes of
hypoglycaemia b
Why?
-
Frequently low blood glucose levels
a
or HbA1c
b
help predict patients at increased risk for
hypoglycaemia
Diabetes: history of hypoglycaemia or a low HbA-1c increase the risk of
hypoglycaemia
| Patient |
Prognostic Factor |
Outcome |
CER |
OR (95% CI) |
NNF+
(95% CI) |
type 1 diabetes
b
|
history of
hypoglycaemia
at 6.5 years
independent
|
hypoglycaemia
requiring assistance
at
6.5
years
|
41%
(38% to 45%)
|
1.33 (1.17 to
1.52) |
14
(10 to
26)
|
|
|
fall in HbA1c by 10% (at baseline of 9%)
independent
|
|
|
1.53 (1.43 to
1.64) |
9
(8 to
11)
|
Diabetes: poor
glycaemia
control may increases the risk of severe
hypoglycaemia
| Outcome |
Risk Factor |
PEER |
OR (95% CI) |
NNH
(95% CI) |
severe
hypoglycaemia b
|
poor
glycaemic
control
independent
|
30% |
3.0 (1.0 to
9.0) |
4
(2 to
infinity)
|
|