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Severe Low Blood Sugar Occurs Often in Patients With Type 2 Diabetes
Date:7/30/2013

OAKLAND, Calif., July 30, 2013 /PRNewswire/ -- Patients with diabetes who take certain types of medications to lower their blood sugar sometimes experience severe low blood-sugar levels, whether or not their diabetes is poorly or well controlled, according to a new study by Kaiser Permanente and Yale University School of Medicine. The finding, published in the current online issue of Diabetes Care, challenges the conventional wisdom that hypoglycemia is primarily a problem among diabetic patients with well-controlled diabetes (who have low average blood-sugar levels).

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Low blood sugar, or hypoglycemia, can cause unpleasant symptoms but is typically treatable with food or a sweet drink. Severe hypoglycemia occurs when blood sugar gets so low a patient needs assistance, and may result in dizziness or mental confusion,  injury, car accident, coma or, rarely, even death. Several recent studies have found that patients who experienced severe hypoglycemia were also at higher risk for dementia, falls, fractures and heart attacks, compared with patients who did not experience hypoglycemia.

"Many clinicians may assume that hypoglycemia is not much of a problem in poorly controlled type 2 diabetes given their high average blood-sugar levels," said senior author and study principal investigator, Andrew Karter, PhD, of the Kaiser Permanente Division of Research. "This study suggests that we should pay much closer attention to hypoglycemia, even in poorly controlled patients. Providers should explain the symptoms of hypoglycemia, how to treat it, and how to avoid it — for example, by not skipping meals. Most of all, providers should ask all their diabetic patients whether they've experienced hypoglycemia, even those patients with very high average levels of bloo
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SOURCE Kaiser Permanente
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