Evidence map›Paper›PMID 37920602›Full record

ArticleDiabetes epidemiology and management

Severe hypoglycemia and falls in older adults with diabetes: The Diabetes & Aging Study.

Howard H Moffet, Elbert S Huang, Jennifer Y Liu, Melissa M Parker, Kasia J Lipska, Neda Laiteerapong, Richard W Grant, Alexandra K Lee, Andrew J Karter

Open access · goldAbstract read
In one paragraph

Article in Diabetes epidemiology and management. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.6field-weighted citation impact, top 4% 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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

16 citing papers in PubMed, 23 citations in OpenAlex.

  1. Trial
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  5. Article
  6. Clin-STAR Corner: Practice Changing Advances in Diabetes Care.Journal of the American Geriatrics Society · 2025
    Review
  7. Review
  8. Article
  9. Understanding Medicine Preferences of Older Adults: The Role of Messaging in a Multi-Methods Experimental Survey.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  10. Article
  11. Article
  12. Observational
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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

9 authors at 3 institutions in 1 country.

Howard H MoffetKaiser Permanente Division of Research, 2000 Broadway, Oakland, CA 94612.
Elbert S HuangUniversity of Chicago, 5841 S. Maryland Avenue, Chicago, IL 60637.
Jennifer Y LiuKaiser Permanente Division of Research, 2000 Broadway, Oakland, CA 94612.
Melissa M ParkerKaiser Permanente Division of Research, 2000 Broadway, Oakland, CA 94612.
Kasia J LipskaYale University School of Medicine, PO Box 208020, New Haven, CT 06520.
Neda LaiteerapongUniversity of Chicago, 5841 S. Maryland Avenue, Chicago, IL 60637.
Richard W GrantKaiser Permanente Division of Research, 2000 Broadway, Oakland, CA 94612.
Alexandra K LeeDivision of Geriatrics, University of California, 4150 Clement St, VA181G, San Francisco, CA 94121.
Andrew J KarterKaiser Permanente Division of Research, 2000 Broadway, Oakland, CA 94612.
Kaiser Permanente · USUniversity of Chicago · USYale University · US

Funding

Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI Ronald T. Ackermann, MARSHALL H CHIN · 2011 to 2026
$10.0M
Translational Research Core - Health Engagement & Action Translational (HEAT)P30DK092924 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI Alyce Sophia Adams, HILARY Kessler SELIGMAN · 2011 to 2026
$9.2M
Optimizing Medical Decision Making for Older Patients with Type 2 DiabetesR01AG063391 · NIA · KAISER FOUNDATION RESEARCH INSTITUTE · PI HUANG, ELBERT S., KARTER, ANDREW JOHN · 2019 to 2023
$3.2M
Preferences, Management, and Outcomes in the Oldest Patients with DiabetesR56AG051683 · NIA · KAISER FOUNDATION RESEARCH INSTITUTE · PI HUANG, ELBERT S., KARTER, ANDREW JOHN · 2016 to 2016
$773k
Contributions of Hypoglycemia and Hyperglycemia to Adverse Geriatric Outcomes in NH Residents with Diabetes and Alzheimer's Disease and Related Dementias (ADRD)K01AG073532 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LEE, ALEXANDRA KATHRYN · 2021 to 2025
$714k
Research and Mentorship in Medical Decision Making for Chronic Diseases of Older AdultsK24AG069080 · NIA · UNIVERSITY OF CHICAGO · PI HUANG, ELBERT S. · 2020 to 2024
$583k
NIA NIH HHS K01 AG073532NIA NIH HHS K24 AG069080NIA NIH HHS R01 AG063391NIA NIH HHS R56 AG051683NIDDK NIH HHS P30 DK092924NIDDK NIH HHS P30 DK092949
6 · The paper itself

Abstract

Objective: To estimate rates of severe hypoglycemia and falls among older adults with diabetes and evaluate their association. Research Design and Methods: Survey in an age-stratified, random sample adults with diabetes age 65-100 years; respondents were asked about severe hypoglycemia (requiring assistance) and falls in the past 12 months. Prevalence ratios (adjusted for age, sex, race/ethnicity) estimated the increased risk of falls associated with severe hypoglycemia. Results: Among 2,158 survey respondents, 79 (3.7%) reported severe hypoglycemia, of whom 68 (86.1%) had no ED visit or hospitalization for hypoglycemia. Falls were reported by 847 (39.2%), of whom 745 (88.0%) had no fall documented in outpatient or inpatient records. Severe hypoglycemia was associated with a 70% greater prevalence of falls (adjusted prevalence ratio = 1.7 (95% CI, 1.3-2.2)). Conclusion: While clinical documentation of events likely reflects severity or care-seeking behavior, severe hypoglycemia and falls are common, under-reported life-threatening events.

Indexed as

agingdiabetes mellitusfallspatient-reported outcomessurvey

Identifiers

PMID37920602
PMCPMC10621321
OpenAlexW4384700244

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.