Evidence map›Paper›PMID 30603274›Full record

ArticleDiabetology international2016

Has the safety of diabetes therapy improved? Lessons from an analysis of diabetic medication-induced severe hypoglycemic cases in an emergency department from 2005 to 2013.

Akizuki Morikawa, Yuko Morikawa, Masahiro Nomura, Jun Watanabe, Hiroya Kitsunai, Masakazu Haneda

Open access · bronzeAbstract read
In one paragraph

Article in Diabetology international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 89% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Akizuki Morikawa1Division of Diabetology and Endocrinology, Department of Medicine, Asahikawa Red Cross Hospital, Asahikawa, Akebono 1-1, Asahikawa, 070-8530 Japan.
Yuko Morikawa1Division of Diabetology and Endocrinology, Department of Medicine, Asahikawa Red Cross Hospital, Asahikawa, Akebono 1-1, Asahikawa, 070-8530 Japan.
Masahiro Nomura1Division of Diabetology and Endocrinology, Department of Medicine, Asahikawa Red Cross Hospital, Asahikawa, Akebono 1-1, Asahikawa, 070-8530 Japan.
Jun Watanabe1Division of Diabetology and Endocrinology, Department of Medicine, Asahikawa Red Cross Hospital, Asahikawa, Akebono 1-1, Asahikawa, 070-8530 Japan.
Hiroya Kitsunai1Division of Diabetology and Endocrinology, Department of Medicine, Asahikawa Red Cross Hospital, Asahikawa, Akebono 1-1, Asahikawa, 070-8530 Japan.
Masakazu Haneda2Division of Metabolism and Biosystemic Science, Department of Medicine, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa, 078-8510 Japan.
Akebono (Japan) · JPAsahikawa Medical University · JPJapanese Red Cross Asahikawa Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsWe investigated the incidence and clinical characteristics of diabetic medication-induced severe hypoglycemia (DMISH) in an emergency department (ED) from 2005 to 2013.

methodsThe observation was performed in two separate periods (1 July 2005-31 October 2006 and 1 July 2012-31 October 2013) in the ED of Asahikawa Red Cross Hospital.

resultsThe number of DMISH cases (48 during 2005-2006, and 47 during 2012-2013) and their proportions of all emergency visits (0.77 % during 2005-2006, and 0.79 % during 2012-2013) were almost identical for the two periods. Patients' mean age (years) was 69.8 during 2005-2006 and 73.8 during 2012-13. Mean HbA

conclusionsAlthough there has been progress in avoiding severe hypoglycemia from 2005 to 2013, the increased number of isolated older diabetic elderly seems to have counteracted clinicians' efforts. A patient-centered approach that sets individualized glycemic targets and selects treatment that balances efficacy and safety is key to avoiding severe hypoglycemia. Improved social support for diabetic elderly patient is also important.

Indexed as

Chronic kidney diseaseDiabetes in elderlyEmergency departmentHypoglycemia

Identifiers

PMID30603274
PMCPMC6224980
OpenAlexW2208773527

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.