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. 2018 May 1;178(5):713-715.
doi: 10.1001/jamainternmed.2017.7744.

Hypoglycemia in Hospice Patients With Type 2 Diabetes in a National Sample of Nursing Homes

Laura A Petrillo  1   2 , Siqi Gan  3 , Bocheng Jing  2   4 , Sean Lang-Brown  2   4 , W John Boscardin  2   4 , Sei J Lee  2   4
Affiliations

Hypoglycemia in Hospice Patients With Type 2 Diabetes in a National Sample of Nursing Homes

Laura A Petrillo et al. JAMA Intern Med. .

Abstract

This retrospective cohort study examines whether patients with type 2 diabetes on hospice are assessed for dysglycemia, receive insulin or oral hypoglycemic medications, or experience hypoglycemia and hyperglycemia in the nursing home setting.

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Conflict of interest statement

Conflict of Interest Disclosures: None reported.

Figures

Figure.
Figure.. Cumulative Incidence of Dysglycemia During Hospice Admission
Cumulative incidence of severe hypoglycemia (glucose <50 mg/dL [to convert to mmol/L, multiply by 0.0555]), hypoglycemia (glucose <70 mg/dL) and hyperglycemia (glucose ≥400 mg/dL) in (A) all veteran patients with type 2 diabetes on hospice in nursing homes; (B) hospice patients treated with insulin; and (C) hospice patients not treated with insulin. Each outcome is shown with competing risk of death over 180 days.
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